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SIR Supports Vertebroplasty Treatment for Painful Spine Fractures

By MedImaging International staff writers
Posted on 08 Feb 2010
The Society of Interventional Radiology (SIR, Fairfax, VA, USA) is fighting the negative backlash from two controversial studies that compared vertebroplasty to placebo, possibly placing patients with osteoporosis in jeopardy of losing a beneficial treatment.

In a statement issued by the society, SIR supports the use of vertebral augmentation (vertebroplasty and kyphoplasty) for patients with painful compression fractures. In addition, SIR supports the important role of research regarding the role of vertebral augmentation, but notes that it is increasingly clear that these studies did not tell the whole story. The two studies in question were published in the New England Journal of Medicine (NEJM) in August 2009, and were the first clinical trials to test vertebroplasty against a placebo. Many experts were stunned by the results that suggested that patients got equal amounts of modest pain relief whether they received vertebroplasty (in which medical-grade bone cement is injected into broken vertebrae), or a dummy injection. However, based on the findings of the controversial studies, the society recommends that interventional radiologists inform their patients of these results during consultation.

"The studies demonstrate the importance of debate and rigorous analysis of all data prior to rushing to conclusions. We must closely monitor trends in vertebroplasty research. There will be additional studies at SIR's annual scientific meeting in March [2010] that will provide new perspective on the aforementioned studies and reaffirm our perspective that vertebroplasty provides long-term and rapid pain relief for appropriately selected patients,” stated Brian Stainken, M.D., President of SIR, who represents the U.S. national organization of nearly 4,500 doctors, scientists, and allied health professionals dedicated to improving health care through minimally invasive treatments.

Criticisms of both studies by interventionists include the small numbers of patients treated; the small percentage of eligible patients who were actually enrolled in the trial; inclusion of patients with milder degrees of pain and disability than are usually treated in a typical practice; the small amount of cement injected; treatment of patients with chronic compression fractures; the incomplete use of magnetic resonance imaging (MRI) or computerized tomography (CT) scans to confirm that the fracture was the likely source of pain; and the high rate of crossover from placebo to vertebroplasty in one of the studies.

"Hundreds of thousands of patients have greatly benefited from vertebroplasty with almost complete resolution of their pain; tens of thousands dependent on intravenous narcotics have been discharged from the hospital virtually pain- and drug-free following their treatment,” added Dr. Stainken. "Candidates for the procedure are those who have failed to respond to conventional medical treatment, such as rest, analgesics and narcotic drugs; vertebroplasty can give patients their lives back. Interventional radiologists have the critical skills in imaging and patient care that makes them experts at determining which patients are the most appropriate candidates to receive the treatment.”

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94 (46.968460083008): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
95 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
106 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
107 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
108 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
109 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
110 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
111 (55.074691772461): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727838 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (45.061111450195): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727838 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
113 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
114 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
115 (432.96813964844): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294727838 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
116 (380.9928894043): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294727838 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
117 (52.928924560547): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294727837 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
118 (329.97131347656): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294727837 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
119 (695.94383239746): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
120 (522.85194396973): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
121 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
122 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
123 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
124 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
125 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
126 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
127 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
128 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
129 (431.06079101562): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
130 (!!!!! 21781.921386719): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
131 (472.06878662109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727838 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727838 AND type='deeppockets_item' AND published='1' LIMIT 1
132 (!!!!! 7676.8398284912): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
133 (73.909759521484): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
134 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
135 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
136 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
137 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
138 (317.09671020508): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
139 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
140 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
141 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
142 (592.94700622559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
143 (355.95893859863): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
144 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=211
145 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=211
146 (519.0372467041): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
147 (!!!!! 1500.129699707): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
148 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
149 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
150 (!!!!! 26592.969894409): TRUNCATE TABLE jos_trademed_module
151 (139.95170593262): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727838 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
152 (77.962875366211): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727838 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
153 (966.07208251953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
154 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
155 (258.9225769043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
156 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
157 (!!!!! 1757.1449279785): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
158 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
159 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
160 (70.095062255859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727838 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727838 AND type='deeppockets_item' AND published='1' LIMIT 1
161 (66.041946411133): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)
162 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)
163 (61.988830566406): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
164 (189.06593322754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
165 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727838 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727838 AND published='1' LIMIT 1
166 (76.770782470703): select jos_twitters.link from jos_twitters where cat=10
167 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10
168 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10
169 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10