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Impact of Cement Distribution on the Efficacy of Percutaneous Vertebral Augmentation for Osteoporotic Fractures: Assessment with an MRI-Based Reference Marker.
J Bone Joint Surg Am
January 2025
Department of Orthopaedics, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
Background: No studies have evaluated the impact of the cement distribution as classified on the basis of the fracture bone marrow edema area (FBMEA) in magnetic resonance imaging (MRI) on the efficacy of percutaneous vertebral augmentation (PVA) for acute osteoporotic vertebral fractures.
Methods: The clinical data of patients with acute, painful, single-level thoracolumbar osteoporotic fractures were retrospectively analyzed. The bone cement distribution on the postoperative radiograph was divided into 4 types according to the distribution of the FBMEA on the preoperative MRI.
Biochemical Mechanisms and Rehabilitation Strategies in Osteoporosis-Related Pain: A Systematic Review.
Clin Pract
December 2024
Department of Experimental Medicine (Di.Me.S), University of Salento, 73100 Lecce, Italy.
Article Synopsis
- Osteoporosis leads to significant bone mass loss, contributing to acute and chronic pain, necessitating a deeper understanding of its biochemical and neurophysiological mechanisms.
- A systematic review of studies from 2018 to 2024 revealed key findings on the miR-92a-3p/PTEN/AKT pathway and the importance of muscle-bone interactions, emphasizing mechanotransduction for bone health.
- Effective pain management strategies identified include physical therapies, cognitive behavioral therapy, and pharmacological options, highlighting the potential for integrated treatment approaches to improve pain relief and functional outcomes for patients.
Corrigendum: Acute abdomen after vertebroplasty-a rare complication.
Front Surg
November 2024
Department of Orthopaedics of the First Affiliated Hospital, Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
[This corrects the article DOI: 10.3389/fsurg.2022.
View Article and Find Full Text PDFBackground: Osteoporotic vertebral compression fractures (OVCF) significantly affect older adults, leading to considerable morbidity and healthcare costs. Despite the known health risks of morbid obesity, its impact on surgical outcomes of OVCF remains underexplored. This study examines the influence of morbid obesity on the clinical outcomes of patients undergoing vertebral augmentation procedures, specifically vertebroplasty (VP) or kyphoplasty (KP).
View Article and Find Full Text PDFEarly kyphoplasty in the elderly patient.
Injury
October 2024
Hospital Clínico Universitario de Valladolid, Servicio de Cirugía Ortopédica y Traumatología, C/Ramón y Cajal, 3, 47003, Valladolid, España.
Unlabelled: Prevalence of vertebral compression fractures is over 30 % in the elderly population. The ideal treatment for these fractures remains a subject of debate. The objective in this study is to compare the clinical outcomes of early kyphoplasty and conservative treatment in vertebral compression fractures.
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