![]() This study was designed to determine whether acute PVA alters morbidity compared with nonoperative management. However, the number of studies examining and comparing acute complication rates between operative and nonoperative management of these fractures in patients hospitalized for OCFs is limited. Currently, clinical practice guidelines weakly recommend kyphoplasty. Patients treated operatively have also been found to have improved mortality benefit. Numerous studies have shown that kyphoplasty offers greater improvement in daily activities, quality of life, and vertebral deformity than conservative treatment. ![]() Several studies have been conducted to elucidate the benefits of kyphoplasty versus nonoperative treatment for OCFs. It is not currently recommended in national clinical guidelines for treating OCFs. In contrast, several studies have found that in the aged population, vertebroplasty offers improved functional outcomes and morbidity and mortality benefits. Several randomized controlled trials did not show a significant clinical benefit regarding pain or functional outcomes with vertebroplasty. Operative management consists of percutaneous vertebral augmentation (PVA), including vertebroplasty and kyphoplasty, whereas nonoperative management consists of pain management and external orthoses. Recent literature has focused on treating OCFs. Furthermore, the 1-year mortality rate following OCF among Medicare beneficiaries was 21%. Of these patients, 35% required acute hospitalization within 7 days following OCF, and 61% required hospitalization greater than 8 days after OCF. In 2015, OCFs had an incidence of 102.1 per 10,000 Medicare beneficiaries, costing approximately $658 million. They represent a large economic burden on the healthcare system. Osteoporotic compression fractures (OCFs) are the most common osteoporotic fracture among the aging population, comprising 27% of all osteoporotic fractures.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |