Minimally Invasive Spine
A 78-year-old woman with known osteoporosis (T-score -3.2) presents with severe mid-thoracic back pain after a mechanical fall 3 weeks ago. Pain is localized and exacerbated by standing. VAS pain score is 8/10 despite regular analgesia. MRI shows an acute T10 vertebral compression fracture with marrow edema but no retropulsion or posterior element involvement. She has failed 6 weeks of conservative management with bracing and analgesia. Regarding vertebral augmentation procedures:
Mark each as TRUE or FALSE
Vertebroplasty involves percutaneous injection of PMMA cement directly into the vertebral body throu...
Indications for vertebral augmentation include: painful osteoporotic vertebral compression fractures...
Evidence strongly supports vertebroplasty over conservative management with multiple high-quality RC...
Complications of vertebral augmentation include: cement extravasation (10-70% in vertebroplasty, low...
The evidence for vertebroplasty is controversial: early RCTs (INVEST, Buchbinder 2009, Kallmes 2009)...
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Click T (True) or F (False) for each option