eMJA: Vertebroplasty appears no better than placebo for painful osteoporotic spinal fractures, and has potential to cause harm

Editorials

Vertebroplasty appears no better than placebo for painful osteoporotic spinal fractures, and has potential to cause harm

Rachelle Buchbinder, Richard H Osborne and David Kallmes

MJA 2009; 191 (9): 476-477

Two randomised placebo-controlled trials show the importance of establishing the efficacy of procedures before adopting them into clinical practice

Vertebral fractures are a common manifestation of osteoporosis, and up to half such fractures result in severe pain and disability. Although most heal within weeks or a few months, some people experience persisting discomfort. Best supportive care includes bed rest, analgesia and physical therapy, and some patients require hospitalisation.

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