ACR Appropriateness Criteria Management of Vertebral Compression Fractures

This is an updated review of management of vertebral compression fracture for both benign osteoporotic and malignant causes. Vertebral compression fracture radiologic imaging evaluation is discussed. A literature review is provided of current indications for vertebral augmentation with percutaneous...

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Veröffentlicht in:Journal of the American College of Radiology 2014-08, Vol.11 (8), p.757-763
Hauptverfasser: McConnell, Charles T., MD, Wippold, Franz J., MD, Ray, Charles E., MD, PhD, Weissman, Barbara N., MD, Angevine, Peter D., MD, Fries, Ian Blair, MD, Holly, Langston T., MD, Kapoor, Baljendra S., MB, BS, Lorenz, Jonathan M., MD, Luchs, Jonathan S., MD, O’Toole, John E., MD, Patel, Nandini D., MD, Roth, Christopher J., MD, Rubin, David A., MD
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container_end_page 763
container_issue 8
container_start_page 757
container_title Journal of the American College of Radiology
container_volume 11
creator McConnell, Charles T., MD
Wippold, Franz J., MD
Ray, Charles E., MD, PhD
Weissman, Barbara N., MD
Angevine, Peter D., MD
Fries, Ian Blair, MD
Holly, Langston T., MD
Kapoor, Baljendra S., MB, BS
Lorenz, Jonathan M., MD
Luchs, Jonathan S., MD
O’Toole, John E., MD
Patel, Nandini D., MD
Roth, Christopher J., MD
Rubin, David A., MD
description This is an updated review of management of vertebral compression fracture for both benign osteoporotic and malignant causes. Vertebral compression fracture radiologic imaging evaluation is discussed. A literature review is provided of current indications for vertebral augmentation with percutaneous vertebroplasty and kyphoplasty as well as medical management. Limitations and potential benefits of these procedures are discussed. Variant tables describing various clinical situations are also provided to assist in determining appropriate use of these treatments for patient care. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to formulate recommendations for imaging or treatment.
doi_str_mv 10.1016/j.jacr.2014.04.011
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Vertebral compression fracture radiologic imaging evaluation is discussed. A literature review is provided of current indications for vertebral augmentation with percutaneous vertebroplasty and kyphoplasty as well as medical management. Limitations and potential benefits of these procedures are discussed. Variant tables describing various clinical situations are also provided to assist in determining appropriate use of these treatments for patient care. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. 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subjects Appropriateness criteria
Diagnostic Imaging - standards
Fractures, Compression - diagnosis
Fractures, Compression - therapy
Humans
Kyphoplasty
management
osteoporosis
Osteoporotic Fractures - diagnosis
Osteoporotic Fractures - therapy
Radiology
Spinal Fractures - diagnosis
Spinal Fractures - therapy
treatment
vertebral compression fracture
Vertebroplasty
title ACR Appropriateness Criteria Management of Vertebral Compression Fractures
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