Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital

Percutaneous vertebroplasty as treatment of malignant vertebral lesions: a systematic review and GRADE evaluation resulting in a Danish national clinical guideline

Publikation: Bidrag til tidsskriftReviewForskningpeer review


  1. Scheuermann's Kyphosis: a 39-year follow-up from diagnosis in non-operated patients

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. Evaluation of a new sagittal classification system in adolescent idiopathic scoliosis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Adeno-associated viral vector-induced overexpression of neuropeptide Y Y2 receptors in the hippocampus suppresses seizures

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Rikke Rousing
  • Andreas Ole Kirkegaard
  • Michael Nielsen
  • Eva Holtved
  • Leif Hougaard Sørensen
  • Thomas Lund
  • Viola Olesen
  • Mikkel Ø Andersen
Vis graf over relationer

PURPOSE: To summarize the recommendations from the national clinical guideline published by the Danish Health Authority, regarding cemental augmentation as treatment for painful vertebral lesions, in patients with malignant disease.

METHODS: A multidisciplinary working group formulated recommendations based on the GRADE approach.

RESULTS: Two of the questions were based on randomized studies and one on professional consensus. The guideline recommends cemental augmentation for painful vertebral lesions in patients with malignant diagnosis, either hematological or non-hematological. Fracture of the posterior wall is not a contradiction to cemental augmentation, but care should always be taken while injecting the cement, to decrease the risk of cemental leaks into the spinal canal.

CONCLUSION: The recommendations are based on low-to-moderate quality of evidence or professional consensus as well as patient preferences and positive and harmful effects of the intervention. The working group recommends more randomized studies on patients with different malignant diseases and painful vertebral lesions comparing percutaneous vertebroplasty/kyphoplasty and conservative treatment to confirm the conclusion in this guideline. These slides can be retrieved under Electronic Supplementary Material.

ID: 62386719