ACR appropriateness criteria management of vertebral compression fractures.

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ACR appropriateness criteria management of vertebral compression fractures.

Author information

1
Good Samaritan Hospital, Cincinnati, Ohio. Electronic address: charles_mcconnell@trihealth.com.
2
Mallinckrodt Institute of Radiology, Saint Louis, Missouri.
3
University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
4
Brigham & Women’s Hospital, Boston, Massachusetts.
5
Columbia University Medical Center, New York, New York; American Association of Neurological Surgeons, Rolling Meadows, Illinois/Congress of Neurological Surgeons, Schaumburg, Illinois.
6
Bone, Spine and Hand Surgery, Chartered, Brick, New Jersey; American Academy of Orthopaedic Surgeons, Rosemont, Illinois.
7
University of California Los Angeles Medical Center, Los Angeles, California; American Association of Neurological Surgeons, Rolling Meadows, Illinois/Congress of Neurological Surgeons, Schaumburg, Illinois.
8
Cleveland Clinic Foundation, Cleveland, Ohio.
9
University of Chicago Hospital, Chicago, Illinois.
10
Metropolitan Diagnostic Imaging Group, Garden City, New York.
11
Rush University Medical Center, Chicago, Illinois; American Association of Neurological Surgeons, Rolling Meadows, Illinois/Congress of Neurological Surgeons, Schaumburg, Illinois.
12
Fairfax Radiology Consultants PC, Fairfax, Virginia.
13
Duke University Medical Center, Durham, North Carolina.
14
Washington University School of Medicine, Saint Louis, Missouri.

Abstract

This is an updated review of management of vertebral compression fracture for both benign osteoporotic and malignant causes. Vertebral compression fracture radiologic imaging evaluation is discussed. A literature review is provided of current indications for vertebral augmentation with percutaneous vertebroplasty and kyphoplasty as well as medical management. Limitations and potential benefits of these procedures are discussed. Variant tables describing various clinical situations are also provided to assist in determining appropriate use of these treatments for patient care. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to formulate recommendations for imaging or treatment.

https://www.ncbi.nlm.nih.gov/pubmed/24935074