Percutaneous vertebroplasty in severe back pain from vertebral compression fractures - early assessment briefs (Alert)

Swedish Council on Technology Assessment in Health Care
Record ID 32007000614
Swedish
Authors' objectives:

Primary question: Is PVP a safe and effective treatment for severe back pain caused by:

1) vertebral compression fractures resulting from osteoporosis in cases where conventional treatment has not provided acceptable pain relief

2) osteolytic metastases or myeloma?

The assessment does not include patients with signs of nerve or spinal cord compression.

Authors' recommendations: Limited scientific evidence shows that PVP is superior to conventional treatment as regards short-term pain relief and functional ability in patients with osteoporotic vertebral compression fractures (Evidence Grade 3)*. Complications have been reported. Scientific evidence is insufficient* to determine the benefit of PVP in treating patients with vertebral metastases or myeloma. Knowledge concerning the method-s long-term effects, risks, and side effects is insufficient*. Randomized and blinded trials are needed in order to reduce the risk of overestimating the treatment effect. High-quality observational studies with extended followup, eg, national quality registers, are essential to determine the long-term effects and risks.
Authors' methods: Review
Details
Project Status: Completed
URL for project: http://www.sbu.se/Published
Year Published: 2007
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Sweden
MeSH Terms
  • Orthopedic Procedures
  • Back Pain
  • Lumbar Vertebrae
  • Osteoporosis
  • Spinal Diseases
  • Spinal Fractures
  • Spinal Neoplasms
  • Thoracic Vertebrae
Contact
Organisation Name: Swedish Agency for Health Technology Assessment and Assessment of Social Services
Contact Address: P.O. Box 3657, SE-103 59 Stockholm, Sweden. Tel: +46 8 4123200, Fax: +46 8 4113260
Contact Name: registrator@sbu.se
Contact Email: registrator@sbu.se
Copyright: Swedish Council on Technology Assessment in Health Care (SBU)
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.