Douglas P. Beall, MD, on the Challenges in Vertebral Compression Fracture Management

In this podcast, Dr Beall, from Clinical Radiology of Oklahoma, discusses challenges in the overall management of vertebral compression fractures, how clinicians can differentiate between moderate to severe and asymptomatic fractures, the importance of initiating treatment early, and more.

Douglas P. Beall, MD, is chief of Radiology Services at Clinical Radiology of Oklahoma in Edmond, Oklahoma.

References:

1. Beall DP, Chambers MR, Thomas S, et al. Prospective and multicenter evaluation of outcomes for quality of life and activities of daily living for balloon kyphoplasty in the treatment of vertebral compression fractures: the EVOLVE trial. Neurosurgery. 2019;84(1):169-178. doi:10.1093/neuros/nyy017.
2. Clark W, Bird P, Gonski P, et al. Safety and efficacy of vertebroplasty for acute painful osteoporotic fractures (VAPOUR): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet. 2016;388(10052):1408-1416. doi:10.1016/S0140-6736(16)31341-1.
3. Hirsch JA, Beall DP, Chambers MR, et al. Management of vertebral fragility fractures: a clinical care pathway developed by a multispecialty panel using the RAND/UCLA Appropriateness Method. Spine J. 2018;18(11):2152-2161. doi:10.1016/j.spinee.2018.07.025.
4. Papanastassiou ID, Phillips FM, Van Meirhaeghe J, et al. Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized and non-randomized controlled studies. Eur Spine J. 2012;21(9):1826-1843. doi:10.1007/s00586-012-2314-z.
5. Wardlaw D, Cummings SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet. 2009;373(9668):1016-1024. doi:10.1016/S0140-6736(09)60010-6.