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</div> <h1 class="content-header__heading" itemprop="name">Treatment of Spine Compression Fractures</h1> <div class="content-header__metadata"> <p class="content-metadata"> <span class="content-metadata__media -video">Video</span> <time class="date" datetime="2021-11-24" itemprop="datePublished">Published on November 24, 2021 </time> </p> <p data-module="share-links"> </p> </div> </div> </header> <div class="-padding--vertical -padding--horizontal"> <div class="layout-columns -width--wide -centered"> <div class="layout-columns__main"> <div class="layout-columns__main__content"> <div class="content-summary"> <h3 class="content-summary__heading">In This Video</h3> <ul> <li>Vertebral augmentation is a technique in which fractures in the spine are stabilized by inserting cement into the spine. In the U.S., the technique is used with vulnerable patients whose fractures would not heal otherwise</li> <li>Joshua Hirsch, MD, an interventional radiologist at Massachusetts General Hospital, and colleagues have reported on the benefits of vertebral augmentation relative to non-surgical management</li> <li>In one study, they found a 55% survival benefit for patients who underwent vertebral augmentation</li> </ul> </div> <div class="video-player" data-module="video-player" data-type="youtube"data-url="https://youtu.be/ngzErula39I" data-language='{"play":"Play video"}'> <a href="https://youtu.be/ngzErula39I"> </a> </div> <p><a href="https://advances.massgeneral.org/contributors/contributor.aspx?id=1126" target="_blank" rel="noopener noreferrer">Joshua A. Hirsch, MD</a>, vice-chair and service line chief of <a href="https://www.massgeneral.org/imaging/approach/clinical-divisions/neuroradiology" target="_blank" rel="noopener noreferrer">Neurointerventional Radiology</a>, discusses treating compression fractures with vertebral augmentation at Massachusetts General Hospital.</p><div class="article__signup-container"> <div class="email-signup-inline__container -background--white"> <style> #email-signup-inline { /* 540px */ background-image: url(/assets/raw/email-signup/cardiovascular-sub-callout.jpg); } @media only screen and (-webkit-min-device-pixel-ratio: 2), only screen and (min--moz-device-pixel-ratio: 2), only screen and (-moz-min-device-pixel-ratio: 2), only screen and (-o-min-device-pixel-ratio: 2/1), only screen and (min-device-pixel-ratio: 2), only screen and (min-resolution: 192dpi), only screen and (min-resolution: 2dppx) { #email-signup-inline { /* 1080 width */ background-image: url(/assets/raw/email-signup/cardiovascular-sub-callout.jpg); 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That's where you take cement and put it in the spine to stabilize fractures. In our country, we do that specifically for vulnerable patients that wouldn't otherwise heal on their own.</p> <p>I would say some of the most important work we've done recently relates to looking at mortality and how mortality plays in both patients that are treated conservatively—non-surgical management—or with kyphoplasty, the techniques we utilize.</p> <p>We found across the 10 years that we studied that, at every single time point, mortality was dramatically different between the kyphoplasty cohort and the non-surgical management cohort. Why is this important? Because the differences were spectacular: in one year—a 55% survival benefit for patients that underwent augmentation.</p> <p>The mortality data has become a critical element in defining what the future I think of augmentation is. Because if there really is this large difference, which is biologically plausible, is it appropriate to withhold consultation for a patient?</p> <p>I'm pleased to say, here at Mass General, we don't think so. We see lots of patients, we counsel them, we think about whether conservative therapy is most appropriate versus what we would consider surgical therapy or kyphoplasty.</p> <p class="cta">Learn about <a href="https://www.massgeneral.org/interventional-radiology">Interventional Radiology at Mass General</a></p> <p class="cta">Refer a patient to the <a href="https://www.massgeneral.org/imaging/appointments-and-referrals/">Department of Radiology</a></p> </div> </div> <aside class="layout-columns__sidebar -article__contributors"> <div class="layout-columns__sidebar__content"> <div class="profile-compact__wrapper"> <p class="u-no-margin"> <strong>Contributors</strong> </p> <div class="profile -compact" itemscope itemtype="http://schema.org/Person"> <div class="profile__content"> <h3 class="profile__name" itemprop="name"> <a href="/contributors/contributor.aspx?id=1126" itemprop="url">Joshua A. Hirsch, MD ›</a></h3><p class="profile__title" itemprop="jobTitle">Vice Chair, Procedural Service, Massachusetts General Hospital</p> </div> <p class="profile__image"> <img alt="" itemprop="image" srcset="/assets/images/contributors/Joshua_Hirsch_advances.png, /assets/images/contributors/Joshua_Hirsch_advances_2x.png 2x" src="/assets/images/contributors/Joshua_Hirsch_advances.png"> </p> </div> </div> </div> </aside> <section class="topics-layout -article__related"> <div class="topics-layout__inner"> <div class="topics-layout__sidebar"> <h2 class="section-heading">Related topics</h2> </div> <div class="topics-layout__main"> <ul class="topics-list" data-module="topics-list"> <li><a href="/ortho/topic.aspx?id=1010">Spine</a></li> </ul> </div> </div> </section> <section class="-padding--horizontal -padding--vertical -article__related"> <div class="layout-columns -width--wide -centered"> <div class="layout-columns__pod--half"> <div class="content-tease" itemscope itemtype="http://schema.org/ScholarlyArticle"> <p class="content-tease__topic"> <span class="highlight">Related</span> </p> <h3 class="content-tease__heading" itemprop="name"> <a href="/radiology/article.aspx?id=1421" itemprop="url">Vertebral Augmentation Offers Improved Mortality in Patients with Compression Fractures</a> </h3> <p itemprop="description"> <p>In a series of papers published over the past several years, Massachusetts General Hospital's Joshua Hirsch, MD, and colleagues have shown that vertebral augmentation offers significant benefits with respect to mortality.</p></p> <p class="content-tease__related"> <a href="/neuro/topic.aspx?id=1019" itemprop="relatedLink">Neurosurgery</a>, <a href="/radiology/specialty.aspx?id=1013" itemprop="relatedLink">Radiology</a>, <a href="/ortho/topic.aspx?id=1010" itemprop="relatedLink">Spine</a> </p> <p class="content-metadata"> <span class="content-metadata__media -article">Article</span> <time class="date" datetime="2021-07-26" itemprop="datePublished">July 26, 2021</time> </p> </div> </div> <div class="layout-columns__pod--half"> <div class="content-tease" itemscope itemtype="http://schema.org/ScholarlyArticle"> <p class="content-tease__topic"> <span class="highlight">Related</span> </p> <h3 class="content-tease__heading" itemprop="name"> <a href="/radiology/journal.aspx?id=1967" itemprop="url">PET/MRI Reproducibly Discriminates Between Individuals With and Without Chronic Low Back Pain</a> </h3> <p itemprop="description"> <p>Angel Torrado-Carvajal, PhD, and Marco L. 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