Efficacy of percutaneous vertebral augmentation and use of physical therapy intervention following vertebral compression fractures in older adults: a systematic review.
OBJECTIVE
The purpose of this systematic literature review was to summarize information on the efficacy of percutaneous vertebral augmentation (PVA) and the incorporation of physical therapy intervention following PVA for vertebral compression fractures (VCF).


METHODS
Literature searches were completed using the Cochrane Library: Cochrane Database of Systematic Reviews (Cochrane Reviews); Agency for Healthcare Research and Quality (AHRQ): National Guideline Clearinghouse; Physiotherapy Evidence Database (PEDro); Medline; and Cumulative Index of Nursing and Allied Health Literature (CINAHL) through August 2005.


RESULTS
Seventeen relevant studies were identified. They reported favorable outcomes (eg, earlier mobility, decreased pain, and improved spinal posture) after PVA. No study addressed physical therapy intervention after PVA.


CONCLUSIONS
PVA appears to be an effective treatment option for individuals with VCF. However, research dealing with physical therapy after PVA is needed.
Department of Physical Therapy, College of Health and Human Services, Missouri State University, Springfield, MO, USA. PCahoj@missouristate.edu
Patricia A
PA
Cahoj
Jeanne L
JL
Cook
Barbara S
BS
Robinson
D050815:Fractures, Compression / Q000209:etiology / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D010024:Osteoporosis / Q000150:complications; D010146:Pain / Q000209:etiology / Q000534:rehabilitation; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011788:Quality of Life; D016103:Spinal Fractures / Q000209:etiology / Q000534:rehabilitation* / Q000601:surgery