[Percutaneous vertebroplasty as a treatment for osteoporotic vertebral fractures - a health technology assessment]
Rousing R, Lauritsen J, Thomsen K, Andersen M, Jespersen MS, Kidholm K, Korsbek L, Sorensen L
Record ID 32011000480
Danish
Original Title:
Perkutan vertebroplastik som behandling af smertefulde osteoporotiske rygfrakturer – en medicinsk teknologivurdering
Authors' objectives:
The purpose of this health technology assessment (HTA) is to provide sufficient evidence for decision-makers before introduction of PVP in Danish hospitals. The assessment seeks to clarify the clinical, economical, and organizational consequences of treating osteoporotic, vertebral compression fractures by PVP compared to conservative treatment. PVP as treatment of other pathological conditions such as metastasis, multiple myeloma, and haemangiomas is not the issue of this assessment.
Authors' recommendations:
The overall conclusion is that PVP is a pain relieving procedure with prompt effect and few complications in patients with acute as well as chronic, osteoporotic vertebral fractures. Though, patients with acute fractures can be treated conservatively, as the majority of patients will recover spontaneously within two to three months. PVP should be considered in acute fractures with intense pain for more than 2-3 days requiring hospitalization or in case of physical weak patients. No or few organizational changes are necessary and the surgeons and assisting staff can be trained in a few days. Economically, the procedure is profitable compared to conservative treatment for patients with acute and subacute, osteoporotic fractures.Sufficient evidence needs more documentation than the few papers cited in this HTA.The results need further consolidation in national and international, randomized trials focused on the pain relieving effects in acute as well as chronic pain.We recommend an update of this HTA when further documentation is available.
Details
Project Status:
Completed
Year Published:
2010
URL for published report:
https://www.sst.dk/da/Udgivelser/2010/Perkutan-vertebroplastik-som-behandling-af-smertefulde-osteoporotiske-rygfrakturer---en-medicinsk-te
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Denmark
MeSH Terms
- Diskectomy, Percutaneous
- Osteoporosis
- Spinal Fractures
- Vertebroplasty
Contact
Organisation Name:
Danish Centre for Evaluation and Health Technology Assessment
Contact Address:
National Board of Health, PO Box 1881, Islands Brygge 67, DK-2300 Copenhagen S, Denmark. Tel: 45 72 22 74 48; Fax: 45 72 22 74 07/67
Contact Name:
dacehta@sst.dk
Contact Email:
dacehta@sst.dk
Copyright:
Danish Centre for Evaluation and Health Technology Assessment (DACEHTA
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.