Department of Radiology Massachusetts General Hospital, Harvard Medical School Boston, Boston, MA 02114, USA.
UOC Radiologia Firenze 1, USL Toscana Centro, 50100 Firenze, Italy.
Medicina (Kaunas). 2022 Oct 11;58(10):1431. doi: 10.3390/medicina58101431.
Vertebral augmentation has been used to treat painful vertebral compression fractures and metastatic lesions in millions of patients around the world. An international group of subject matter experts have considered the evidence, including but not limited to mortality. These considerations led them to ask whether it is appropriate to allow the subjective measure of pain to so dominate the clinical decision of whether to proceed with augmentation. The discussions that ensued are related below.
椎体强化术已被广泛用于治疗世界各地数百万例椎体压缩性骨折和转移性病变患者的疼痛。一个国际专家小组考虑了证据,包括但不限于死亡率。这些考虑因素使他们质疑是否应该允许主观的疼痛测量如此主导是否进行强化的临床决策。下面将介绍相关讨论。