Vertos 5: Vertebroplasty versus Placebo
If I were a placebo KOL, believed in the power of intentional healing, or psychokinetic properties of local anesthetics, I'd be pissed...
https://pubs.rsna.org/doi/10.1148/radiol.222535
"The strength of this trial is that nearly all participants (94%) were convinced they received the actual cementation, with no crossovers. In other words, the placebo effect (expectations of pain relief) was high, but nevertheless, PV was significantly better than active control...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 21, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Tips/Pearls to prevent extravasation with Vertebroplasty?
I started accepting VCFs into my practice after a lot of work. Sadly, my ASC saw the reimbursements and is stopping carrying Kypho and is asking me to do Vertebroplasty instead. I’m scared of the increased extravastion risk though. Tips/pearls are appreciated. (Source: Student Doctor Network)
Source: Student Doctor Network - March 5, 2023 Category: Universities & Medical Training Authors: cameroncarter Tags: Pain Medicine Source Type: forums
"this study confirms that the majority of orthopaedic surgical interventions are not based on RCTs" - thoughts??
This study comes to the conclusion that MANY of the most commonly performed orthopedic procedures are not based on high quality RCTs, what does this mean for the future of ortho? will we see less ortho surgeries in the future and a shift towards non-surgical managment? will the majority of the field's bread and butter go extinct like meniscectomy, vertebroplasty, arthroscopic knee debridment...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - August 1, 2021 Category: Universities & Medical Training Authors: Doc mu Tags: Orthopaedic Surgery Source Type: forums
A few minor mistakes in the article OF Re: Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS IV): randomised sham controlled clinical trial
(Source: BMJ Comments)
Source: BMJ Comments - August 18, 2019 Category: General Medicine Source Type: forums
Compression fx/vertebroplasty question
Hey forum, weigh-in on this:
83 y/o F with new L5 compression fracture from 2 months back (30% superior endplate compression) with fracture lines that extend into the bilateral pedicles, L>R.
I want to fix this thing, but she also has history of L4-S1 posterior fusion with bone graft (fusion done in 1975) going right over the pedicle shadow. Hard to make out any definable anatomy needed on left, but I do see my landmarks on right.
Does anyone have experience trying to fix fractures in...
Compression fx/vertebroplasty question (Source: Student Doctor Network)
Source: Student Doctor Network - May 9, 2019 Category: Universities & Medical Training Authors: Medman2737 Tags: Pain Medicine Source Type: forums
Re: Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS IV): randomised sham controlled clinical trial
(Source: BMJ Comments)
Source: BMJ Comments - June 7, 2018 Category: General Medicine Source Type: forums
So Does Vertebroplasty Work Or Not?
Just read a recent study that came out in BMJ that showed no statistical difference between Vertebroplasty and Sham:
Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS IV): randomised sham controlled clinical trial
In the past decade, there are now 2 large RCTs that are yay for Vertebroplasty, and now 3 that are nay...
Your thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2018 Category: Universities & Medical Training Authors: Blitz2006 Source Type: forums
