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Osteoporotic vertebral compression fractures (OVCF) significantly contribute to increased morbidity and mortality in aging populations. When adjusted for age, South Korea has the highest global prevalence of OVCF, with rates of 544 per 100,000 men and 1,575 per 100,000 women. Moreover, patients with OVCF are at a heightened risk of additional fractures, with the risk of new vertebral fractures being up to 5-fold higher. Therefore, in treating patients with OVCF, it is essential to address the current symptoms and take preventive measures against further fractures. Although pharmacological treatment is crucial, it may be insufficient for all patients with OVCF, with more severe cases often requiring physical therapy or surgical intervention. This review aimed to explore effective physical therapy methods for patients with OVCF and summarize surgical techniques for high-risk older patients with various underlying conditions.
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http://dx.doi.org/10.13004/kjnt.2024.20.e32 | DOI Listing |
Medicine (Baltimore)
August 2025
Department of Neurosurgery, İstanbul Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Osteoporotic vertebral compression fractures (OVCF) are a common complication of osteoporosis, particularly in elderly populations. Percutaneous kyphoplasty (PKP) is a minimally invasive procedure that provides pain relief and spinal stability for patients with OVCF. However, new vertebral compression fractures (NVCF) can occur in 2% to 38% of patients following PKP, posing a significant clinical challenge.
View Article and Find Full Text PDFJ Robot Surg
August 2025
Department of Spine Surgery, The Affiliated Jiangning Hospital With Nanjing Medical University, 167 Hushan Road, Jiangning, Nanjing, Jiangsu, 211100, People's Republic of China.
The purpose of the current study was to evaluate the anatomical feasibility and the clinical efficacy of robot-assisted unilateral percutaneous kyphoplasty (PKP) via the extreme lateral transverse process-pedicle approach (ETPA) in treating osteoporotic vertebral compression fractures (OVCF). Researchers analyzed 1000 lumbar vertebrae (L1-L5) from 200 patients and simulated PKP via the ETPA using 3D-CT imaging. The distance between the entry point and the midline of the vertebral body (DEM), the puncture inclination angle (PIA), the safe range of the puncture inclination angles (SRP), the success rate (SR) of puncture, sagittal inclination angle (SIA), and the safe range of the sagittal inclination angle (SRS) were measured and compared.
View Article and Find Full Text PDFJ Orthop Surg Res
August 2025
Department of Orthopaedics, Lianshui People's Hospital, Kangda College of Nanjing Medical University, Lianshui, 223400, Jiangsu, China.
Background: Optimal management of osteoporotic vertebral compression fractures (OVCFs) remains controversial. This network meta‑analysis (NMA) evaluated the relative efficacy and safety of third‑generation percutaneous vertebral augmentation (TVA), percutaneous kyphoplasty (PKP), percutaneous vertebroplasty (PVP), and non‑surgical management (NSM) in OVCFs.
Methods: A systematic search of PubMed, Embase, the Cochrane Library, and Web of Science was conducted from inception to February 1, 2025, to identify clinical trials comparing ≥ 2 of these interventions.
BMC Surg
August 2025
Shenzhen Traditional Chinese Medicine Hospital, No.1, Fuhua Road, Futian District, Shenzhen, Guangdong Province, China.
Purpose: This study aimed to evaluate the clinical efficacy and safety of TiRobot-assisted PVP surgery in the treatment of middle and upper thoracic OVCF. We also aimed to determine (1) changes in Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) before and after treatment, (2) imaging changes of the fractured vertebra, (3) operation time and intraoperative blood loss, (4) frequency of puncture and fluoroscopy, hospital stay, radiation exposure of patient and surgeon, and (5) bone cement leakage and distribution and operation-related complications.
Methods: A retrospective analysis was performed on 62 patients with OVCF of the middle and upper thoracic vertebrae (T1-T8) who underwent PVP surgery in Shenzhen Traditional Chinese Medicine Hospital from January 2017 to January 2023.
Front Surg
August 2025
Department of Traumatology & Orthopedics, Wuxi Affiliated Hospital of Nanjing University of Chinese Medicine, Wuxi, China.
Purpose: Severe residual back pain (RBP) after percutaneous kyphoplasty (PKP) significantly impacts postoperative prognosis and quality of life in patients. The aim of this study was to identify the risk factors for RBP in osteoporotic vertebral compression fracture (OVCF) patients after PKP, to establish a risk prediction model, and to validate its effectiveness.
Methods: A case-control study was carried out among OVCF patients, who were assigned to either the training set (these patients were recruited from January 2018 and June 2020) or the validation set (these patients were recruited from July 2020 and December 2020).