Abstract
Evidence-Based Answer The best treatment for osteoporotic vertebral compression fractures (VCFs) remains unclear. When vertebroplasty (VP) is compared with sham treatment, no differences are noted in pain or function. Balloon kyphoplasty (BK) is better than usual care for pain relief, but has not been tested against sham intervention. Evidence-based guidelines recommend against VP and still mention BK as an option for VCFs (SOR: B, based on meta-analysis of RCTs and evidence-based guidelines).
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