title: ACR appropriateness criteria management of vertebral compression fractures.
abstract: This is an updated review of management of vertebral compression fracture for both benign osteoporotic and malignant causes. Vertebral compression fracture radiologic imaging evaluation is discussed. A literature review is provided of current indications for vertebral augmentation with percutaneous vertebroplasty and kyphoplasty as well as medical management. Limitations and potential benefits of these procedures are discussed. Variant tables describing various clinical situations are also provided to assist in determining appropriate use of these treatments for patient care. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to formulate recommendations for imaging or treatment.
authors.affiliation: Good Samaritan Hospital, Cincinnati, Ohio. Electronic address: charles_mcconnell@trihealth.com.
authors.forename: Charles T
authors.initials: CT
authors.lastname: McConnell
authors.affiliation: Mallinckrodt Institute of Radiology, Saint Louis, Missouri.
authors.forename: Franz J
authors.initials: FJ
authors.lastname: Wippold
authors.affiliation: University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
authors.forename: Charles E
authors.initials: CE
authors.lastname: Ray
authors.affiliation: Brigham & Women's Hospital, Boston, Massachusetts.
authors.forename: Barbara N
authors.initials: BN
authors.lastname: Weissman
authors.affiliation: Columbia University Medical Center, New York, New York; American Association of Neurological Surgeons, Rolling Meadows, Illinois/Congress of Neurological Surgeons, Schaumburg, Illinois.
authors.forename: Peter D
authors.initials: PD
authors.lastname: Angevine
authors.affiliation: Bone, Spine and Hand Surgery, Chartered, Brick, New Jersey; American Academy of Orthopaedic Surgeons, Rosemont, Illinois.
authors.forename: Ian Blair
authors.initials: IB
authors.lastname: Fries
authors.affiliation: University of California Los Angeles Medical Center, Los Angeles, California; American Association of Neurological Surgeons, Rolling Meadows, Illinois/Congress of Neurological Surgeons, Schaumburg, Illinois.
authors.forename: Langston T
authors.initials: LT
authors.lastname: Holly
authors.affiliation: Cleveland Clinic Foundation, Cleveland, Ohio.
authors.forename: Baljendra S
authors.initials: BS
authors.lastname: Kapoor
authors.affiliation: University of Chicago Hospital, Chicago, Illinois.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Lorenz
authors.affiliation: Metropolitan Diagnostic Imaging Group, Garden City, New York.
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Luchs
authors.affiliation: Rush University Medical Center, Chicago, Illinois; American Association of Neurological Surgeons, Rolling Meadows, Illinois/Congress of Neurological Surgeons, Schaumburg, Illinois.
authors.forename: John E
authors.initials: JE
authors.lastname: O'Toole
authors.affiliation: Fairfax Radiology Consultants PC, Fairfax, Virginia.
authors.forename: Nandini D
authors.initials: ND
authors.lastname: Patel
authors.affiliation: Duke University Medical Center, Durham, North Carolina.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Roth
authors.affiliation: Washington University School of Medicine, Saint Louis, Missouri.
authors.forename: David A
authors.initials: DA
authors.lastname: Rubin
mesh_terms: D003952:Diagnostic Imaging / Q000592:standards*; D050815:Fractures, Compression / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D058498:Kyphoplasty; D058866:Osteoporotic Fractures / Q000175:diagnosis* / Q000628:therapy*; D016103:Spinal Fractures / Q000175:diagnosis* / Q000628:therapy*; D054854:Vertebroplasty
keywords: Appropriateness criteria; MR; kyphoplasty; management; osteoporosis; treatment; vertebral compression fracture; vertebroplasty