醫學五：80題 ( 包括外科,骨科,泌尿科等科目及其相關臨床實例與醫學倫理 )題庫下載題庫

For patients with mild to moderate pain that is responding to medical management, vertebral augmentation is not indicated, because placebo (sham) controlled trials show no benefit compared with controls

For patients with incapacitating pain who are unable to taper parenteral opioids and for those who are not improving with or are intolerant of oral opioids (urinary retention, constipation, confusion), some clinicians, including the authors of this topic, suggest vertebral augmentation, while others prefer continuing medical management. 
Vertebroplasty: little to no compression of the verte...

For patients with mild to moderate pain that is responding to medical management, vertebral augmentation is not indicated, because placebo (sham) controlled trials show no benefit compared with controls

For patients with incapacitating pain who are unable to taper parenteral opioids and for those who are not improving with or are intolerant of oral opioids (urinary retention, constipation, confusion), some clinicians, including the authors of this topic, suggest vertebral augmentation, while others prefer continuing medical management. 
Vertebroplasty: little to no compression of the vertebral body, but MRI shows bone marrow edema consistent with fracture.

Kyphoplasty

Bracing — We do not typically use bracing for the management of pain in patients with osteoporotic compression fractures. If a brace is used to relieve pain, it should be used in the acute and subacute phases of treatment for pain control, but not longer, as atrophy of the core musculature may occur with prolonged use.