osteoporotic vertebral fracture vertebral compression fracture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •VCF on X-ray of the spine (minimal 15% loss of height) •level of VCF Th5 or lower •back pain = 50 years of age •bone edema on MRI of the fractured vertebral body •focal tenderness on VCF level •decreased bone density T-scores
Exclusion criteria
Exclusion criteria: •severe cardio-pulmonary condition •untreatable coagulopathy •systemic or local infection of the spine (osteomyelitis, spondylodiscitis) •suspected alternative underlying disease (malignancy) •radicular and/or cauda compression syndrome •contra-indication for MRI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome will be pain relief at 1 day, 1 week, and 1,3, 6 and 12 months. The questionnaire consist of the VAS score and questions about use of pain medication, pain location, and pain type. Other medical treatment and visits to alternative medical specialists, GP's and physical therapists are recorded and compared between groups. Patients are asked to fill out the VAS score and use of analgesics is recorded on a daily basis during the first month after randomization. | — |
Secondary
| Measure | Time frame |
|---|---|
| Back pain related disability as measured with the Roland Morris Disability (RMD) Questionnaire. The RMD questionnaire is a disability questionnaire that measures the functional status of patients with back pain. The Qualeffo is developed specifically for patients with osteoporosis. This questionnaire consists of 41 questions. Description: QOL as measured with the Questionnaire of the European Foundation for Osteoporosis (Qualeffo). The Qualeffo is developed specifically for patients with osteoporosis. This questionnaire consists of 41 questions about: pain, physical function, social function, general health perception, and mental function. The Qualeffo score ranges from 0 (best quality of life) to 100 (worst quality of life). This questionnaire will be completed at five measurement moments (before and at 1, 3, 6 and 12 months after the procedure). | — |
Countries
Netherlands