Management strategies for osteoporotic vertebral compression fractures: a prospective multicentric study

Bijay Kumar Lamay; Gopal Krishna Hembram; Amaresh Prasad Mohapatra

doi:10.18203/issn.2455-4510.IntJResOrthop20262326

Authors

Bijay Kumar Lamay Department of Orthopaedics, VIMSAR, Burla, Odisha, India
Gopal Krishna Hembram Department of Orthopaedics, VIMSAR, Burla, Odisha, India
Amaresh Prasad Mohapatra Department of Orthopaedics, Government Medical College and Hospital, Sundargarh, Odisha, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20262326

Keywords:

Osteoporosis, Vertebral compression fracture, Vertebroplasty, Kyphoplasty, Prospective study

Abstract

Background: Osteoporotic vertebral compression fractures (OVCFs) are a major cause of morbidity among the elderly population, leading to pain, reduced mobility, and diminished quality of life. Various management strategies exist, including conservative treatment, vertebroplasty, and kyphoplasty; however, optimal treatment remains controversial.

Methods: A prospective observational study was conducted across three tertiary care centres in Odisha, India, from December 2023 to December 2025. A total of 220 patients diagnosed with OVCFs were enrolled. Patients were categorized into three groups: conservative management (Group A), vertebroplasty (Group B), and kyphoplasty (Group C). Outcomes were assessed using Visual analog scale (VAS), Oswestry disability index (ODI), and radiological parameters at baseline, 3 months, 6 months, and 12 months.

Results: Significant improvement in pain and functional outcomes was observed in all groups (p<0.001). Kyphoplasty demonstrated superior pain relief and vertebral height restoration compared to other modalities (p<0.05). Vertebroplasty showed faster early pain relief compared to conservative treatment.

Conclusions: Kyphoplasty offers better long-term outcomes in OVCFs, while vertebroplasty provides rapid pain relief. Conservative treatment remains suitable for mild cases.

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