![]() Cervical OVFs were excluded from this review.Īnalgesic medicine is the first line of treatment. Because they are the most common, thoracic and lumbar OVFs were the focus of this review. The purpose of this review was to provide an up-to-date summary of the available evidence on OVF management. Because there are now few studies with level I evidence available for review and few of the best OVF management guidelines, more work is needed to raise the standard of the majority of guidelines. A 2017 review of clinical recommendations for OVF found that diagnostic and treatment advice was frequently contradictory. ![]() The clinical practice guidelines (11 recommendations) were developed by the American Academy of Orthopedic Surgeons there was only one strong and one moderate evidences the remaining nine recommendations were weak or inconclusive. The presence of an OVF is a major predictor of morbidities, such as back pain, spine deformities, and a decline in quality of life (QOL). OVFs can lead to poor activities of daily living (ADL), subsequent fractures (which are four times more common), pulmonary problems (which are three times more common), and increased mortality (15% increase). OVFs are commonly treated conservatively nonetheless, it can be difficult to manage complicated cases that require surgery. The most typical osteoporotic fracture is a vertebral fracture. The incidence of osteoporotic vertebral fractures (OVFs) has risen along with the elderly population’s longer life expectancy. Keywords: Spine Osteoporosis Spinal fractures Vertebroplasty Kyphoplasty Neurology Teriparatide ![]() More multimodal approaches, including conservative and surgical treatment, VA, and medications that treat osteoporosis and promote fracture healing, are required to improve the quality of the majority of guidelines. ![]() According to the available literature, there are no standard management methods for OVFs. Teriparatide was intermittently administered, which dramatically improved spinal fusion and fracture healing while lowering mortality risk. Clinical studies on bisphosphonate’s effects on fracture healing are lacking. Osteoporosis management and prevention are critical to lowering the risk of future OVFs. Surgeons must stay current on developments in the osteoporotic spine field and be open to new treatment options. Because no single approach can guarantee the best surgical outcomes, customized surgical techniques are required. Despite the fact that the majority of OVFs heal without surgery, 15%–35% of patients with an unstable fracture, persistent intractable back pain, or severely collapsed vertebra that causes a neurologic deficit, kyphosis, or chronic pseudarthrosis frequently require surgery. Until more robust data are available, current evidence does not support the routine use of VA for OVF. ![]() There is still debate and controversy about the effectiveness of VA in comparison with conservative treatment. Numerous reports have been made on studies for vertebral augmentation (VA), including vertebroplasty and kyphoplasty. The treatment of pain includes short-term bed rest, analgesic medication, anti-osteoporotic medications, exercise, and a brace. Conservative treatment is the primary treatment option for OVFs. There are currently few “gold standard treatments” outlined for the management of OVFs in terms of quantity and quality. Osteoporotic vertebral fractures (OVFs) cause a variety of morbidities and deaths. A vertebral fracture is the most common type of osteoporotic fracture. ![]()
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