Quality of Life After Vertebroplasty Versus Conservative Treatment in Patients With Painful Osteoporotic Vertebral Fractures
Recruitment status was Active, not recruiting
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Purpose
The purpose of this study is to determine whether percutaneous vertebroplasty is able to improve long-term quality of life in patients with pain secondary to osteoporotic vertebral fractures, compared to conventional medical treatment.
| Condition | Intervention |
|---|---|
|
Spinal Fracture Osteoporosis Back Pain |
Procedure: percutaneous injection of cement into the vertebral body Other: Medical treatment |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Analysis of the Impact in the Quality of Life of Patients With Pain Secondary to Osteoporotic Vertebral Fractures Receiving Conservative Treatment Versus Percutaneous Vertebroplasty |
- Impact into quality of life with the Qualeffo-41 test [ Time Frame: Baseline, 2 weeks, 2 months, 6 months and 1 year ] [ Designated as safety issue: No ]
- Analyze pain alleviation with the Analog Visual Scale [ Time Frame: Baseline, 2 weeks, 2 months, 6 months and 1 year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 100 |
| Study Start Date: | March 2006 |
| Estimated Study Completion Date: | June 2010 |
| Estimated Primary Completion Date: | June 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: vertebroplasty |
Procedure: percutaneous injection of cement into the vertebral body
percutaneous injection of cement into the vertebral body
|
| Active Comparator: Medical Treatment |
Other: Medical treatment
standard antalgic medical treatment
|
Detailed Description:
Osteoporotic vertebral fractures are associated with pain and severe disability in a high percentage of patients. Vertebroplasty has become the treatment of choice to alleviate pain in those patients who have not responded to medical treatment.Although several case series and non-randomized studies have shown the effectiveness of vertebroplasty in alleviating pain secondary to osteoporotic vertebral fractures, the long-term effect of this treatment has not been compared to standard medical treatment in a randomized study.
In our study we have analyzed the long-term effect of vertebroplasty in terms of quality of life in patients with painful osteoporotic vertebral fractures, randomizing them into two arms: percutaneous vertebroplasty or conventional medical treatment.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Painful (pain intensity of at least 4 on a scale from 0 to 10) osteoporotic vertebral fracture between levels T4 and L5
- Fragility; i.e. fracture not in relation with significant trauma
- Recent fracture, pain beginning not earlier than 1 year before inclusion
Exclusion Criteria:
- No vertebral edema on STIR MR images
- Uncorrectable bleeding diatheses
- Active infection
- Substantial retropulsion of bony fragments
- Non-osteoporotic fracture
- Concomitant neoplasm
Contacts and Locations| Spain | |
| Hospital Clinic of Barcelona | |
| Barcelona, Catalunya, Spain, 08036 | |
| Principal Investigator: | Jordi Blasco, MD | Hospital Clinic of Barcelona |
More Information
Additional Information:
No publications provided by Hospital Clinic of Barcelona
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Jordi Blasco Andaluz, MD, Hospital Clinic of Barcelona |
| ClinicalTrials.gov Identifier: | NCT00994032 History of Changes |
| Other Study ID Numbers: | HCPB-VP |
| Study First Received: | October 13, 2009 |
| Last Updated: | October 13, 2009 |
| Health Authority: | Spain: Ethics Committee |
Keywords provided by Hospital Clinic of Barcelona:
|
vertebroplasty disability evaluation outcome assessment pain measurement |
Additional relevant MeSH terms:
|
Back Pain Fractures, Bone Osteoporosis Spinal Fractures Pain Neurologic Manifestations Nervous System Diseases |
Signs and Symptoms Wounds and Injuries Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases Spinal Injuries Back Injuries |
ClinicalTrials.gov processed this record on May 16, 2013