No quick fix…

There are no quick solutions it seems. It sounds like a good idea, squirt some cement into a weak area of bone and you’re on your way but a world-first study has found the injection of bone cement into osteoporotic spinal fractures is not effective.

Vertebroplasty, as it’s known, is a procedure that involves an X-ray guided needle insertion into the bone fracture followed by the injection of medical grade cement with the aim being to stabilise the fracture and help the spine heal more quickly with less pain.

The treatment is regularly recommended by doctors and specialists around the world with more than 600 Australians undergoing the procedure every year. Previously scientifically weaker studies led to an interim listing on the Medicare Benefits Scheme.

Professor Rachelle Buchbinder of the Monash Department of Clinical Epidemiology at Cabrini Hospital who led the study, published the results in the prestigious New England Journal of Medicine in August. In the same edition, the results were published of a study by an independent research team at the Mayo Clinic in the US which also found the procedure inadequate.

“Our results indicate that there are no benefits of vertebroplasty over six months, but there are some potential risks. These include infection and leakage of bone cement outside of the broken vertebrae,” said Professor Buchbinder.

She believes those risks should not be ignored. “The cement is a permanent medical implant. The procedure might also increase the already high risk of having more spinal fractures, particularly in vertebrae adjacent to the treated area.” Based on these results, Professor Buchbinder also said “I don’t think there is any place for vertebroplasty in routine care.”

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