(Ivanhoe Newswire) -- Vertebroplasty, a minimally invasive treatment,
offers new hope for those suffering the ravages of osteoporosis, the most common
type of bone disease.
Osteoporosis affects 10 million Americans and is responsible for 700,000
vertebral fractures each year. Multiple vertebral fractures can result in
chronic pain and disability, loss of independence, stooped posture and
compression of the lungs and stomach.
"Vertebroplasty puts lives and vertebrae back together," Giovanni C. Anselmetti,
M.D., interventional radiologist at the Institute for Cancer Research and
Treatment in Turin, Italy, was quoted as saying. Before treatment, many
osteoporotic patients are in constant pain and cannot manage everyday
activities. Vertebroplasty, a treatment performed by interventional radiologists
under imaging guidance, stabilizes collapsed vertebrae with the injection of
medical-grade bone cement into the spine. The treatment provides pain relief and
improves one's quality of life -- if given to appropriately selected candidates
in whom conventional medical treatment has failed.
"Vertebroplasty dramatically improves back pain within hours of the procedure,
provides long-term pain relief and has a low complication rate, as demonstrated
in multiple studies," said Anselmetti.
While vertebroplasty provides pain relief from vertebral fractures, it does not
treat the disease that caused them -- osteoporosis, said Anselmetti. "For the
best results, collaboration between physicians is mandatory. All osteoporotic
patients need to be followed by an interventional radiologist, who determines
which patients are appropriate candidates to receive vertebroplasty treatment,
and an experienced medical expert (in this study, a rheumatologist) to ensure
continued treatment for osteoporosis," he said.
Anselmetti illustrated a typical case: an 80-year-old Italian woman, who was
diagnosed with two painful osteoporotic vertebral collapses, underwent medical
treatment for osteoporosis with the drug teriparatide and was still in pain when
she was prescribed an external brace. After there was evidence of two new
fractures, she received vertebroplasty, experiencing "complete pain regression,
no need for the brace and a dramatic Lazarus-like ability to perform daily
activities."
Researchers studied 2,251 osteoporotic patients suffering from back-pain for
vertebral collapses who underwent a clinical interview and a review of their
medical treatment, pain grade, quality of life and extent of vertebral fracture.
Vertebroplasty was performed in 1,542 patients when optimal medical treatment
such as biphosphonates, teriparatide, analgesics and back brace did not relieve
pain or improve quality of life for patients over a three-month period. After
vertebroplasty, patients continued to receive medical treatment with a
rheumatologist.
"Our long-term follow-up confirmed this," said Anselmetti, "pain relief and
quality of life significantly improved with vertebroplasty."
SOURCE: Presented at the Society of Interventional Radiology Annual
Scientific Meeting, Tampa, FL, March 15, 2010
