Vertebroplasty for painful acute osteoporotic vertebral fractures: recent Medical Journal of Australia editorial is not relevant to the patient group that we treat with vertebroplasty

Med J Aust. 2010 Mar 15;192(6):334-7. doi: 10.5694/j.1326-5377.2010.tb03533.x.


We use vertebroplasty for patients with the most severe pain caused by osteoporotic vertebral fractures less than 6 weeks old, and have observed dramatic pain relief in this acute setting. A recent editorial in the Journal, written by the authors of two recent vertebroplasty trials, suggested that vertebroplasty is not an effective therapy for acute osteoporotic vertebral fractures. The trials described in the editorial sampled a very different patient cohort to the one that we treat with vertebroplasty. Our clinical experience and most of the published literature relating to the benefits of vertebroplasty are in striking contrast to the opinions presented in that editorial.

Publication types

  • Comment
  • Review

MeSH terms

  • Australia / epidemiology
  • Back Pain / diagnosis
  • Back Pain / etiology
  • Back Pain / surgery*
  • Humans
  • Incidence
  • Magnetic Resonance Imaging
  • Osteoporosis / complications*
  • Osteoporosis / diagnosis
  • Patient Selection
  • Periodicals as Topic*
  • Postoperative Complications / epidemiology
  • Risk Factors
  • Spinal Fractures / complications
  • Spinal Fractures / diagnosis
  • Spinal Fractures / surgery*
  • Vertebroplasty*