The Management of Osteoporosis: "We Are Doing a Mediocre Job"

In this podcast, Douglas P. Beall, MD, from Clinical Radiology of Oklahoma, discusses the prevalence of vertebral compression fractures, the importance of prompt treatment for patients with spine and hip fractures, the need for clinicians to become more adept at managing underlying osteoporosis, and more.

Additional Resources:

1. Chen AT, Cohen DB, Skolasky RL. Impact of nonoperative treatment, vertebroplasty, and kyphoplasty on survival and morbidity after vertebral compression fracture in the Medicare population. J Bone Joint Surg Am. 2013;95(19):1729-1736. doi:10.2106/JBJS.K.01649.
2. Edidin AA, Ong KL, Lau E, Kurtz SM. Mortality risk for operated and nonoperated vertebral fracture patients in the Medicare population. J Bone Miner Res. 2011;26(7):1617-1626. doi:10.1002/jbmr.353.
3. Edidin AA, Ong KL, Lau E, Kurtz SM. Morbidity and mortality after vertebral fractures: comparison of vertebral augmentation and nonoperative management in the Medicare population. Spine (Phila Pa 1976). 2015;40(15):1228-1241. doi:10.1097/BRS.0000000000000992.
4. Lange A, Kasperk C, Alvares L, Sauermann S, Braun S. Survival and cost comparison of kyphoplasty and percutaneous vertebroplasty using German claims data. Spine (Phila Pa 1976). 2014;39(4):318-326. doi:10.1097/BRS.0000000000000135.
5. Park J-W, Park S-M, Lee HJ, Lee C-K, Chang B-S, Kim H. Mortality following benign sacral insufficiency fracture and associated risk factors. Arch Osteoporos. 2017;12(1):100. doi:10.1007/s11657-017-0395-3.
6. Shonnard NH, Berven SH, Anderson PA, Beall DP. Registry outcomes of cement augmentation for osteoporotic vertebral compression fractures [P140]. Spine J. 2018;18(8):S206-S207. doi:10.1016/j.spinee.2018.06.678.

For more on osteoporosis, visit the Resource Center.

Douglas P. Beall, MD, is chief of Radiology Services at Clinical Radiology of Oklahoma in Edmond, Oklahoma.