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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Published in:Annals of physical and rehabilitation medicine 2023-09, Vol.66 (6), p.101746-101746, Article 101746
Main Authors: Chabert, Emmanuel, Hugonnet, Eulalie, Kastler, Adrian, Sakka, Laurent, Rabbo, Francis Abed, Zerroug, Abderrahim, Coudeyre, Emmanuel, Pereira, Bruno, Coll, Guillaume
Format: Article
Language:English
Subjects:
Brace
Human health and pathology
Kyphoplasty
Kyphosis angle
Life Sciences
Rhumatology and musculoskeletal system
Thoraco-lumbo-sacral orthoses
Vertebral fracture
Vertebroplasty
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Summary:•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
ISSN:1877-0657
1877-0665
DOI:10.1016/j.rehab.2023.101746