Arthur Ameis1,2, Kristi Randhawa3, Hainan Yu3, Pierre Côté3, Scott Haldeman4,5,6, Roger Chou7, Eric L Hurwitz8, Margareta Nordin9,10, Jessica J Wong3, Heather M Shearer3, Anne Taylor-Vaisey3. 1. University of Montreal Faculty of Medicine Certification Program in Insurance Medicine and MedicoLegal Expertise, Montreal, QC, Canada. dr.a@ameis.ca. 2. Canadian Society of Medical Evaluators, Toronto, ON, Canada. dr.a@ameis.ca. 3. University of Ontario Institute of Technology (UOIT)-Canadian Memorial Chiropractic College (CMCC) Centre for Disability Prevention and Rehabilitation, Toronto, ON, Canada. 4. Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, USA. 5. Department of Neurology, University of California, Irvine, USA. 6. World Spine Care, Santa Ana, CA, USA. 7. Department of Medical Informatics and Clinical Epidemiology and Department of Medicine, Oregon Health and Science University, Portland, OR, USA. 8. Office of Public Health Studies, University of Hawaii, Honolulu, HI, USA. 9. Department of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA. 10. World Spine Care Europe, Holmfirth, UK.
Abstract
PURPOSE: The purpose of this review was to develop recommendations for non-invasive management of pain due to osteoporotic vertebral compression fractures (OVCF) that could be applied in medically underserved areas and low- and middle-income countries. METHODS: We conducted a systematic review and best evidence synthesis of systematic reviews on the non-invasive management of OVCF. Eligible reviews were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Low risk of bias systematic reviews and high-quality primary studies that were identified in the reviews were used to develop recommendations. RESULTS: From 6 low risk of bias systematic reviews and 14 high-quality primary studies we established that for acute pain management, in addition to rest and analgesic medication, orthoses may provide temporary pain relief, in addition to early mobilization. Calcitonin can be considered as a supplement to analgesics; however, cost is of concern. Once acute pain control is achieved, exercise can be effective for improving function and quality of life. CONCLUSION: The findings from this study will help to inform the GSCI care pathway and model of care for use in medically underserved areas and low- and middle-income countries. Conservative management of acute pain and recovery of function in adults with OVCF should include early mobilization, exercise, spinal orthosis for pain relief, and calcitonin for analgesic-refractory acute pain. These slides can be retrieved under Electronic Supplementary Material.
PURPOSE: The purpose of this review was to develop recommendations for non-invasive management of pain due to osteoporotic vertebral compression fractures (OVCF) that could be applied in medically underserved areas and low- and middle-income countries. METHODS: We conducted a systematic review and best evidence synthesis of systematic reviews on the non-invasive management of OVCF. Eligible reviews were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Low risk of bias systematic reviews and high-quality primary studies that were identified in the reviews were used to develop recommendations. RESULTS: From 6 low risk of bias systematic reviews and 14 high-quality primary studies we established that for acute pain management, in addition to rest and analgesic medication, orthoses may provide temporary pain relief, in addition to early mobilization. Calcitonin can be considered as a supplement to analgesics; however, cost is of concern. Once acute pain control is achieved, exercise can be effective for improving function and quality of life. CONCLUSION: The findings from this study will help to inform the GSCI care pathway and model of care for use in medically underserved areas and low- and middle-income countries. Conservative management of acute pain and recovery of function in adults with OVCF should include early mobilization, exercise, spinal orthosis for pain relief, and calcitonin for analgesic-refractory acute pain. These slides can be retrieved under Electronic Supplementary Material.
Entities:
Keywords:
Compression; Conservative treatment; Early medical intervention; Fractures; Osteoporosis; Review literature as topic; Spine
Authors: Andra Morrison; Julie Polisena; Don Husereau; Kristen Moulton; Michelle Clark; Michelle Fiander; Monika Mierzwinski-Urban; Tammy Clifford; Brian Hutton; Danielle Rabb Journal: Int J Technol Assess Health Care Date: 2012-04 Impact factor: 2.188
Authors: G P Lyritis; G V Ioannidis; T Karachalios; N Roidis; E Kataxaki; N Papaioannou; J Kaloudis; A Galanos Journal: Clin J Pain Date: 1999-12 Impact factor: 3.442
Authors: Scott Haldeman; Claire D Johnson; Roger Chou; Margareta Nordin; Pierre Côté; Eric L Hurwitz; Bart N Green; Deborah Kopansky-Giles; Christine Cedraschi; Ellen Aartun; Emre Acaroğlu; Arthur Ameis; Selim Ayhan; Fiona Blyth; David Borenstein; O'Dane Brady; Fereydoun Davatchi; Christine Goertz; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Rajani Mullerpatan; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Kristi Randhawa; Erkin Sönmez; Carlos Torres; Paola Torres; William Watters; Hainan Yu Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Claire D Johnson; Scott Haldeman; Margareta Nordin; Roger Chou; Pierre Côté; Eric L Hurwitz; Bart N Green; Deborah Kopansky-Giles; Kristi Randhawa; Christine Cedraschi; Arthur Ameis; Emre Acaroğlu; Ellen Aartun; Afua Adjei-Kwayisi; Selim Ayhan; Amer Aziz; Teresa Bas; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Jean Dudler; Robert Dunn; Stefan Eberspaecher; Juan Emmerich; Jean Pierre Farcy; Norman Fisher-Jeffes; Christine Goertz; Michael Grevitt; Erin A Griffith; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Edward J Kane; Julie Laplante; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Shanmuganathan Rajasekaran; Heather Shearer; Matthew Smuck; Erkin Sönmez; Patricia Tavares; Anne Taylor-Vaisey; Carlos Torres; Paola Torres; Alexander van der Horst; Leslie Verville; Emiliano Vialle; Gomatam Vijay Kumar; Adriaan Vlok; William Watters; Chung Chek Wong; Jessica J Wong; Hainan Yu; Selcen Yüksel Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Scott Haldeman; Claire D Johnson; Roger Chou; Margareta Nordin; Pierre Côté; Eric L Hurwitz; Bart N Green; Christine Cedraschi; Emre Acaroğlu; Deborah Kopansky-Giles; Arthur Ameis; Afua Adjei-Kwayisi; Selim Ayhan; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Robert Dunn; Christine Goertz; Erin A Griffith; Maria Hondras; Edward J Kane; Nadège Lemeunier; John Mayer; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Kristi Randhawa; Heather Shearer; Erkin Sönmez; Carlos Torres; Paola Torres; Leslie Verville; Adriaan Vlok; William Watters; Chung Chek Wong; Hainan Yu Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Claire D Johnson; Scott Haldeman; Roger Chou; Margareta Nordin; Bart N Green; Pierre Côté; Eric L Hurwitz; Deborah Kopansky-Giles; Emre Acaroğlu; Christine Cedraschi; Arthur Ameis; Kristi Randhawa; Ellen Aartun; Afua Adjei-Kwayisi; Selim Ayhan; Amer Aziz; Teresa Bas; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Jean Dudler; Robert Dunn; Stefan Eberspaecher; Juan Emmerich; Jean Pierre Farcy; Norman Fisher-Jeffes; Christine Goertz; Michael Grevitt; Erin A Griffith; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Edward J Kane; Julie Laplante; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Shanmuganathan Rajasekaran; Heather Shearer; Matthew Smuck; Erkin Sönmez; Patricia Tavares; Anne Taylor-Vaisey; Carlos Torres; Paola Torres; Alexander van der Horst; Leslie Verville; Emiliano Vialle; Gomatam Vijay Kumar; Adriaan Vlok; William Watters; Chung Chek Wong; Jessica J Wong; Hainan Yu; Selcen Yüksel Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Deborah Kopansky-Giles; Claire D Johnson; Scott Haldeman; Roger Chou; Pierre Côté; Bart N Green; Margareta Nordin; Emre Acaroğlu; Arthur Ameis; Christine Cedraschi; Eric L Hurwitz; Selim Ayhan; David Borenstein; O'Dane Brady; Peter Brooks; Fereydoun Davatchi; Robert Dunn; Christine Goertz; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Nadège Lemeunier; John Mayer; Silvano Mior; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Kristi Randhawa; Carlos Torres; Paola Torres; Adriaan Vlok; Chung Chek Wong Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Scott Haldeman; Margareta Nordin; Roger Chou; Pierre Côté; Eric L Hurwitz; Claire D Johnson; Kristi Randhawa; Bart N Green; Deborah Kopansky-Giles; Emre Acaroğlu; Arthur Ameis; Christine Cedraschi; Ellen Aartun; Afua Adjei-Kwayisi; Selim Ayhan; Amer Aziz; Teresa Bas; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Jean Dudler; Robert Dunn; Stefan Eberspaecher; Juan Emmerich; Jean Pierre Farcy; Norman Fisher-Jeffes; Christine Goertz; Michael Grevitt; Erin A Griffith; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Edward J Kane; Julie Laplante; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Shanmuganathan Rajasekaran; Heather Shearer; Matthew Smuck; Erkin Sönmez; Patricia Tavares; Anne Taylor-Vaisey; Carlos Torres; Paola Torres; Alexander van der Horst; Leslie Verville; Emiliano Vialle; Gomatam Vijay Kumar; Adriaan Vlok; William Watters; Chung Chek Wong; Jessica J Wong; Hainan Yu; Selcen Yüksel Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134