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Rigshospitalet - a part of Copenhagen University Hospital
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Percutaneous vertebroplasty as treatment of malignant vertebral lesions: a systematic review and GRADE evaluation resulting in a Danish national clinical guideline

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

Original languageEnglish
JournalEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Volume29
Issue number7
Pages (from-to)1573-1579
Number of pages7
ISSN0940-6719
DOIs
Publication statusPublished - Jul 2020

ID: 62386719