Treating spinal compression fractures

By Robert A. McGuire Jr, MD

New guideline recommends against use of vertebroplasty

At their meeting on Sept. 24, 2010, the AAOS Board of Directors approved a new clinical practice guideline on the treatment of osteoporotic spinal compression fractures (Fig. 1). The new guideline includes 11 recommendations, including one that is strongly supported by good quality evidence and one that is supported by fair quality evidence (see Table 1, PDF). In most areas, however, evidence was insufficient or conflicting and did not enable the work group to make a recommendation for or against the intervention.

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