Vertebroplasty versus bracing in acute vertebral compression fractures: A prospective randomized trial
•Vertebroplasty improves function more than bracing after vertebral fracture.•Vertebroplasty reduces pain more than bracing after vertebral fracture.•Vertebroplasty provides early pain relief and allows early return to work.•Vertebroplasty prevents vertebral kyphosis more effectively than bracing.•V...
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| Veröffentlicht in: | Annals of physical and rehabilitation medicine 2023-09, Vol.66 (6), p.101746-101746, Article 101746 |
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| container_title | Annals of physical and rehabilitation medicine |
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| creator | Chabert, Emmanuel Hugonnet, Eulalie Kastler, Adrian Sakka, Laurent Rabbo, Francis Abed Zerroug, Abderrahim Coudeyre, Emmanuel Pereira, Bruno Coll, Guillaume |
| description | •Vertebroplasty improves function more than bracing after vertebral fracture.•Vertebroplasty reduces pain more than bracing after vertebral fracture.•Vertebroplasty provides early pain relief and allows early return to work.•Vertebroplasty prevents vertebral kyphosis more effectively than bracing.•Vertebroplasty prevents vertebral collapse more effectively than bracing.
The treatment of stable vertebral compression fractures remains controversial.
To compare the efficacy of vertebroplasty and bracing for acute vertebral compression fractures.
We conducted a prospective, randomized, non-blinded, single-center study. Adult participants were randomized to undergo vertebroplasty or bracing. Both groups were stratified by age. The primary outcome was functional disability (Roland-Morris disability questionnaire [RMDQ]). Secondary outcomes were pain intensity (Visual Analogue Scale [VAS]), and change in vertebral body height and kyphosis angle. Outcomes were assessed on day 2, and 1, 3 and 6 months after treatment.
Ninety-nine people were included, 51 in the vertebroplasty group and 48 in the brace group. Treatment was performed within 2 weeks of the trauma. On day 2 post-treatment, pain was lower in the vertebroplasty group (mean [SD] 2.3 [1.5] versus 3.4 [2.1], p = 0.004) but the difference was no longer significant at 6 months. Functional disability was significantly lower in the vertebroplasty than brace group at all time-points (RMDQ score 7.5 [5.7] vs 11.4 [5.3], p |
| doi_str_mv | 10.1016/j.rehab.2023.101746 |
| format | Article |
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The treatment of stable vertebral compression fractures remains controversial.
To compare the efficacy of vertebroplasty and bracing for acute vertebral compression fractures.
We conducted a prospective, randomized, non-blinded, single-center study. Adult participants were randomized to undergo vertebroplasty or bracing. Both groups were stratified by age. The primary outcome was functional disability (Roland-Morris disability questionnaire [RMDQ]). Secondary outcomes were pain intensity (Visual Analogue Scale [VAS]), and change in vertebral body height and kyphosis angle. Outcomes were assessed on day 2, and 1, 3 and 6 months after treatment.
Ninety-nine people were included, 51 in the vertebroplasty group and 48 in the brace group. Treatment was performed within 2 weeks of the trauma. On day 2 post-treatment, pain was lower in the vertebroplasty group (mean [SD] 2.3 [1.5] versus 3.4 [2.1], p = 0.004) but the difference was no longer significant at 6 months. Functional disability was significantly lower in the vertebroplasty than brace group at all time-points (RMDQ score 7.5 [5.7] vs 11.4 [5.3], p<0.001 at 1 month). At 6 months, the increase in kyphosis angle was smaller in the vertebroplasty than the brace group (+1.5°versus +4°, p<0.001).
In people with acute vertebral compression fractures, the immediate effect of vertebroplasty was greater than that of bracing on pain and function, and for restoring sagittal balance. At 6 months, the superiority of vertebroplasty decreased, except for the maintenance of sagittal balance.
ClinicalTrials.gov number, NCT01643395</description><identifier>ISSN: 1877-0657</identifier><identifier>EISSN: 1877-0665</identifier><identifier>DOI: 10.1016/j.rehab.2023.101746</identifier><identifier>PMID: 37030247</identifier><language>eng</language><publisher>Netherlands: Elsevier Masson SAS</publisher><subject>Brace ; Human health and pathology ; Kyphoplasty ; Kyphosis angle ; Life Sciences ; Rhumatology and musculoskeletal system ; Thoraco-lumbo-sacral orthoses ; Vertebral fracture ; Vertebroplasty</subject><ispartof>Annals of physical and rehabilitation medicine, 2023-09, Vol.66 (6), p.101746-101746, Article 101746</ispartof><rights>2023 Elsevier Masson SAS</rights><rights>Copyright © 2023 Elsevier Masson SAS. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-91ea744997f643fbf2df8459134217e369bfb15c0d6ffffa6b1bc9f7e8c659a43</citedby><cites>FETCH-LOGICAL-c438t-91ea744997f643fbf2df8459134217e369bfb15c0d6ffffa6b1bc9f7e8c659a43</cites><orcidid>0000-0002-8793-0678 ; 0000-0002-6117-3939 ; 0000-0001-5753-2890 ; 0000-0003-3778-7161</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1877065723000179$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37030247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04126473$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Chabert, Emmanuel</creatorcontrib><creatorcontrib>Hugonnet, Eulalie</creatorcontrib><creatorcontrib>Kastler, Adrian</creatorcontrib><creatorcontrib>Sakka, Laurent</creatorcontrib><creatorcontrib>Rabbo, Francis Abed</creatorcontrib><creatorcontrib>Zerroug, Abderrahim</creatorcontrib><creatorcontrib>Coudeyre, Emmanuel</creatorcontrib><creatorcontrib>Pereira, Bruno</creatorcontrib><creatorcontrib>Coll, Guillaume</creatorcontrib><title>Vertebroplasty versus bracing in acute vertebral compression fractures: A prospective randomized trial</title><title>Annals of physical and rehabilitation medicine</title><addtitle>Ann Phys Rehabil Med</addtitle><description>•Vertebroplasty improves function more than bracing after vertebral fracture.•Vertebroplasty reduces pain more than bracing after vertebral fracture.•Vertebroplasty provides early pain relief and allows early return to work.•Vertebroplasty prevents vertebral kyphosis more effectively than bracing.•Vertebroplasty prevents vertebral collapse more effectively than bracing.
The treatment of stable vertebral compression fractures remains controversial.
To compare the efficacy of vertebroplasty and bracing for acute vertebral compression fractures.
We conducted a prospective, randomized, non-blinded, single-center study. Adult participants were randomized to undergo vertebroplasty or bracing. Both groups were stratified by age. The primary outcome was functional disability (Roland-Morris disability questionnaire [RMDQ]). Secondary outcomes were pain intensity (Visual Analogue Scale [VAS]), and change in vertebral body height and kyphosis angle. Outcomes were assessed on day 2, and 1, 3 and 6 months after treatment.
Ninety-nine people were included, 51 in the vertebroplasty group and 48 in the brace group. Treatment was performed within 2 weeks of the trauma. On day 2 post-treatment, pain was lower in the vertebroplasty group (mean [SD] 2.3 [1.5] versus 3.4 [2.1], p = 0.004) but the difference was no longer significant at 6 months. Functional disability was significantly lower in the vertebroplasty than brace group at all time-points (RMDQ score 7.5 [5.7] vs 11.4 [5.3], p<0.001 at 1 month). At 6 months, the increase in kyphosis angle was smaller in the vertebroplasty than the brace group (+1.5°versus +4°, p<0.001).
In people with acute vertebral compression fractures, the immediate effect of vertebroplasty was greater than that of bracing on pain and function, and for restoring sagittal balance. At 6 months, the superiority of vertebroplasty decreased, except for the maintenance of sagittal balance.
ClinicalTrials.gov number, NCT01643395</description><subject>Brace</subject><subject>Human health and pathology</subject><subject>Kyphoplasty</subject><subject>Kyphosis angle</subject><subject>Life Sciences</subject><subject>Rhumatology and musculoskeletal system</subject><subject>Thoraco-lumbo-sacral orthoses</subject><subject>Vertebral fracture</subject><subject>Vertebroplasty</subject><issn>1877-0657</issn><issn>1877-0665</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kUtv3CAUhVHUKO9fUCli2S5mAgaDiZTFKGqTSCN103aLAF8aRn4F7JGSXx9cp7MsG-Dou_fCOQh9pmRNCRU3u3WEZ2PXBSnYrEgujtAZraRcESHKT4dzKU_ReUo7QgRXnJ-gUyYJIwWXZ8j_hjiCjf3QmDS-4j3ENCVso3Gh-4NDh42bRpj1GTMNdn07REgp9B32GRunfLvFGzzEPg3gxrAHHE1X9214gxqPMZjmEh170yS4-tgv0K_v337eP662Px6e7jfbleOsGleKgpGcKyW94MxbX9S-4qWijBdUAhPKektLR2rh8zLCUuuUl1A5USrD2QX6uvR9No0eYmhNfNW9Cfpxs9WzRjgtBJdsTzP7ZWHzw18mSKNuQ3LQNKaDfkq6kKqSlCklMsoW1OU_pgj-0JsSPYehd_pvGHoOQy9h5KrrjwGTbaE-1PxzPwN3CwDZkn2AqJML0DmoQ8xG6roP_x3wDix5nTY</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Chabert, Emmanuel</creator><creator>Hugonnet, Eulalie</creator><creator>Kastler, Adrian</creator><creator>Sakka, Laurent</creator><creator>Rabbo, Francis Abed</creator><creator>Zerroug, Abderrahim</creator><creator>Coudeyre, Emmanuel</creator><creator>Pereira, Bruno</creator><creator>Coll, Guillaume</creator><general>Elsevier Masson SAS</general><general>Elsevier Masson</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-8793-0678</orcidid><orcidid>https://orcid.org/0000-0002-6117-3939</orcidid><orcidid>https://orcid.org/0000-0001-5753-2890</orcidid><orcidid>https://orcid.org/0000-0003-3778-7161</orcidid></search><sort><creationdate>20230901</creationdate><title>Vertebroplasty versus bracing in acute vertebral compression fractures: A prospective randomized trial</title><author>Chabert, Emmanuel ; Hugonnet, Eulalie ; Kastler, Adrian ; Sakka, Laurent ; Rabbo, Francis Abed ; Zerroug, Abderrahim ; Coudeyre, Emmanuel ; Pereira, Bruno ; Coll, Guillaume</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-91ea744997f643fbf2df8459134217e369bfb15c0d6ffffa6b1bc9f7e8c659a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Brace</topic><topic>Human health and pathology</topic><topic>Kyphoplasty</topic><topic>Kyphosis angle</topic><topic>Life Sciences</topic><topic>Rhumatology and musculoskeletal system</topic><topic>Thoraco-lumbo-sacral orthoses</topic><topic>Vertebral fracture</topic><topic>Vertebroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chabert, Emmanuel</creatorcontrib><creatorcontrib>Hugonnet, Eulalie</creatorcontrib><creatorcontrib>Kastler, Adrian</creatorcontrib><creatorcontrib>Sakka, Laurent</creatorcontrib><creatorcontrib>Rabbo, Francis Abed</creatorcontrib><creatorcontrib>Zerroug, Abderrahim</creatorcontrib><creatorcontrib>Coudeyre, Emmanuel</creatorcontrib><creatorcontrib>Pereira, Bruno</creatorcontrib><creatorcontrib>Coll, Guillaume</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Annals of physical and rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chabert, Emmanuel</au><au>Hugonnet, Eulalie</au><au>Kastler, Adrian</au><au>Sakka, Laurent</au><au>Rabbo, Francis Abed</au><au>Zerroug, Abderrahim</au><au>Coudeyre, Emmanuel</au><au>Pereira, Bruno</au><au>Coll, Guillaume</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vertebroplasty versus bracing in acute vertebral compression fractures: A prospective randomized trial</atitle><jtitle>Annals of physical and rehabilitation medicine</jtitle><addtitle>Ann Phys Rehabil Med</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>66</volume><issue>6</issue><spage>101746</spage><epage>101746</epage><pages>101746-101746</pages><artnum>101746</artnum><issn>1877-0657</issn><eissn>1877-0665</eissn><abstract>•Vertebroplasty improves function more than bracing after vertebral fracture.•Vertebroplasty reduces pain more than bracing after vertebral fracture.•Vertebroplasty provides early pain relief and allows early return to work.•Vertebroplasty prevents vertebral kyphosis more effectively than bracing.•Vertebroplasty prevents vertebral collapse more effectively than bracing.
The treatment of stable vertebral compression fractures remains controversial.
To compare the efficacy of vertebroplasty and bracing for acute vertebral compression fractures.
We conducted a prospective, randomized, non-blinded, single-center study. Adult participants were randomized to undergo vertebroplasty or bracing. Both groups were stratified by age. The primary outcome was functional disability (Roland-Morris disability questionnaire [RMDQ]). Secondary outcomes were pain intensity (Visual Analogue Scale [VAS]), and change in vertebral body height and kyphosis angle. Outcomes were assessed on day 2, and 1, 3 and 6 months after treatment.
Ninety-nine people were included, 51 in the vertebroplasty group and 48 in the brace group. Treatment was performed within 2 weeks of the trauma. On day 2 post-treatment, pain was lower in the vertebroplasty group (mean [SD] 2.3 [1.5] versus 3.4 [2.1], p = 0.004) but the difference was no longer significant at 6 months. Functional disability was significantly lower in the vertebroplasty than brace group at all time-points (RMDQ score 7.5 [5.7] vs 11.4 [5.3], p<0.001 at 1 month). At 6 months, the increase in kyphosis angle was smaller in the vertebroplasty than the brace group (+1.5°versus +4°, p<0.001).
In people with acute vertebral compression fractures, the immediate effect of vertebroplasty was greater than that of bracing on pain and function, and for restoring sagittal balance. At 6 months, the superiority of vertebroplasty decreased, except for the maintenance of sagittal balance.
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| ispartof | Annals of physical and rehabilitation medicine, 2023-09, Vol.66 (6), p.101746-101746, Article 101746 |
| issn | 1877-0657 1877-0665 |
| language | eng |
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| source | Elsevier ScienceDirect Journals; EZB Electronic Journals Library |
| subjects | Brace Human health and pathology Kyphoplasty Kyphosis angle Life Sciences Rhumatology and musculoskeletal system Thoraco-lumbo-sacral orthoses Vertebral fracture Vertebroplasty |
| title | Vertebroplasty versus bracing in acute vertebral compression fractures: A prospective randomized trial |
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