Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture

Vertebral augmentation procedures are widely used to treat osteoporotic vertebral compression fractures (VCFs). We report our initial experience with radiofrequency-targeted vertebral augmentation (RF-TVA) in 20 patients aged 50 to 90 years with single-level, symptomatic osteoporotic VCF between T10...

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Main Authors: Franklin G. Moser, Marcel M. Maya, Laura Blaszkiewicz, Andrea Scicli, Larry E. Miller, Jon E. Block
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Osteoporosis
Online Access:http://dx.doi.org/10.1155/2013/791397
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author Franklin G. Moser
Marcel M. Maya
Laura Blaszkiewicz
Andrea Scicli
Larry E. Miller
Jon E. Block
author_facet Franklin G. Moser
Marcel M. Maya
Laura Blaszkiewicz
Andrea Scicli
Larry E. Miller
Jon E. Block
author_sort Franklin G. Moser
collection DOAJ
description Vertebral augmentation procedures are widely used to treat osteoporotic vertebral compression fractures (VCFs). We report our initial experience with radiofrequency-targeted vertebral augmentation (RF-TVA) in 20 patients aged 50 to 90 years with single-level, symptomatic osteoporotic VCF between T10 and L5, back pain severity > 4 on a 0 to 10 scale, Oswestry Disability Index ≥ 21%, 20% to 90% vertebral height loss compared to adjacent vertebral body, and fracture age < 6 months. After treatment, patients were followed through hospital discharge and returned for visits after 1 week, 1 month, and 3 months. Back pain severity improved 66% (P<0.001), from 7.9 (95% CI: 7.1 to 8.6) at pretreatment to 2.7 (95% CI: 1.5 to 4.0) at 3 months. Back function improved 46% (P<0.001), from 74 (95% CI: 69% to 79%) at pretreatment to 40 (95% CI: 33% to 47%) at 3 months. The percentage of patients regularly consuming pain medication was 70% at pretreatment and only 21% at 3 months. No adverse events related to the device or procedure were reported. RF-TVA reduces back pain severity, improves back function, and reduces pain medication requirements with no observed complications in patients with osteoporotic VCF.
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institution Kabale University
issn 2090-8059
2042-0064
language English
publishDate 2013-01-01
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record_format Article
series Journal of Osteoporosis
spelling doaj-art-76f0ae2489d4452db6e6a0dc89ae21502025-02-03T01:26:47ZengWileyJournal of Osteoporosis2090-80592042-00642013-01-01201310.1155/2013/791397791397Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression FractureFranklin G. Moser0Marcel M. Maya1Laura Blaszkiewicz2Andrea Scicli3Larry E. Miller4Jon E. Block5Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA 90048, USACedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA 90048, USACedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA 90048, USADFINE, Inc., 3047 Orchard Parkway, San Jose, CA 95134, USAMiller Scientific Consulting, Inc., 26 Portobello Road, Arden, NC 28704, USAThe Jon Block Group, 2210 Jackson Street, Suite 401, San Francisco, CA 94115, USAVertebral augmentation procedures are widely used to treat osteoporotic vertebral compression fractures (VCFs). We report our initial experience with radiofrequency-targeted vertebral augmentation (RF-TVA) in 20 patients aged 50 to 90 years with single-level, symptomatic osteoporotic VCF between T10 and L5, back pain severity > 4 on a 0 to 10 scale, Oswestry Disability Index ≥ 21%, 20% to 90% vertebral height loss compared to adjacent vertebral body, and fracture age < 6 months. After treatment, patients were followed through hospital discharge and returned for visits after 1 week, 1 month, and 3 months. Back pain severity improved 66% (P<0.001), from 7.9 (95% CI: 7.1 to 8.6) at pretreatment to 2.7 (95% CI: 1.5 to 4.0) at 3 months. Back function improved 46% (P<0.001), from 74 (95% CI: 69% to 79%) at pretreatment to 40 (95% CI: 33% to 47%) at 3 months. The percentage of patients regularly consuming pain medication was 70% at pretreatment and only 21% at 3 months. No adverse events related to the device or procedure were reported. RF-TVA reduces back pain severity, improves back function, and reduces pain medication requirements with no observed complications in patients with osteoporotic VCF.http://dx.doi.org/10.1155/2013/791397
spellingShingle Franklin G. Moser
Marcel M. Maya
Laura Blaszkiewicz
Andrea Scicli
Larry E. Miller
Jon E. Block
Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture
Journal of Osteoporosis
title Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture
title_full Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture
title_fullStr Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture
title_full_unstemmed Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture
title_short Prospective Single-Site Experience with Radiofrequency-Targeted Vertebral Augmentation for Osteoporotic Vertebral Compression Fracture
title_sort prospective single site experience with radiofrequency targeted vertebral augmentation for osteoporotic vertebral compression fracture
url http://dx.doi.org/10.1155/2013/791397
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