Percutaneous vertebroplasty for osteoporotic vertebral compression fracture.

CONCLUSIONS: We found high- to moderate-quality evidence that vertebroplasty has little clinical benefit in terms of pain for treating acute or subacute osteoporotic vertebral fractures in routine practice when compared with a sham procedure. Results were consistent across the studies irrespective of the average duration of pain.Sensitivity analyses confirmed that open trials comparing vertebroplasty with usual care are likely to have overestimated any benefit of vertebroplasty. Correcting for these biases would likely drive any benefits observed with vertebroplasty towards the null, in keeping with findings from the placebo-controlled trials.Numerous serious adverse events have been observed following vertebroplasty. However due to the small number of events, we cannot be certain about whether or not vertebroplasty results in a clinically important increased risk of new symptomatic vertebral fractures and/or other serious adverse events. Patients should be informed about both the high- to moderate-quality evidence that shows no important benefit of vertebroplasty and its potential for harm. PMID: 30399208 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research

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Source: Clinics in Perinatology - Category: Perinatology & Neonatology Source Type: research
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Source: Skeletal Radiology - Category: Radiology Source Type: research
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Source: Skeletal Radiology - Category: Radiology Source Type: research
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Source: Skeletal Radiology - Category: Radiology Source Type: research
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Source: Skeletal Radiology - Category: Radiology Source Type: research
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Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractPathology of the fascia lata attachment at the iliac crest (FLAIC) is an under-recognized and often misdiagnosed cause of lateral hip pain. The fascia lata has a broad attachment at the lateral iliac crest with contributions from the tensor fascia lata muscle, the iliotibial band, and the gluteal aponeurosis. The FLAIC is susceptible to overuse injuries, acute traumatic injuries, and degeneration. There is a paucity of literature regarding imaging and image-guided treatment of the FLAIC. We review anatomy and pathology of the FLAIC, presenting novel high-resolution (18 –24 MHz) ultrasound images includin...
Source: Skeletal Radiology - Category: Radiology Source Type: research
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Recent article of unilateral vs bilateral approach.......Have utilized a unilateral approach for several years now. Do you unilateral or bilateral? What is your average pressure?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
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Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: Miscellaneous Source Type: research
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