Abstract

Thoracolumbar osteoporotic vertebral fractures often occur in elderly patients. Possible treatment options include conservative therapy with orthoses and minimally invasive therapies like balloon kyphoplasty. Studies show advantages in pain reduction post-kyphoplasty. In contrast, activating orthoses seem to have a longer-term positive effect on muscles and thus the sagittal plane of the spine.

Highlights

  • Thoracolumbar osteoporotic vertebral fractures often occur in elderly patients

  • 90 patients in total with osteoporotic vertebral fractures were included, 30 of which were each were assigned to the groups of Kyphoplasty, Spinomed, or Kyphoplasty and Spinomed

  • Balloon kyphoplasty results in a faster improvement in pain

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Summary

Introduction

Thoracolumbar osteoporotic vertebral fractures often occur in elderly patients. Possible treatment options include conservative therapy with orthoses and minimally invasive therapies like balloon kyphoplasty. Studies show advantages in pain reduction post-kyphoplasty. Activating orthoses seem to have a longer-term positive effect on muscles and the sagittal plane of the spine. Vertebral compression fractures (VCF) are frequent manifestations of osteoporosis. The global incidence of new cases of osteoporotic vertebral compression fractures (OVCF) is estimated at 550,000 to 700,000 annually. Patients may experience prolonged pain and increasing kyphosis due to changes to the structure of the spine. This can result in a higher risk of additional adjacent fractures and impaired lung function. The lasting, gruelling pain symptoms and resultant

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