European Spine Journal (2018) 27:1664 https://doi.org/10.1007/s00586-018-5644-7 AUTHOR ’S REPLY Answer to the Letter to the Editor of M. Ganau et al. concerning “Osteoporotic thoracolumbar compression fractures: long‑term retrospective comparison between vertebroplasty and conservative treatment” by K. Martikos et al. [Eur Spine J (2018) doi: 10.1007/s00586‑018‑5605‑1] Konstantinos Martikos Received: 5 May 2018 / Accepted: 20 May 2018 / Published online: 6 June 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 We would like to thank the readers for the interest in our Regarding our data that sustain a higher long-term adja- manuscript and answer their questions as follows: cent fracture rate in patients treated with PV, we admit that Regarding choice of treatment, each patient was evalu- in every study there may be numerous statistical methods ated individually considering general health and the need for a more detailed analysis, but on the other hand there are for early ambulation. All patients were informed of both numerous studies reporting higher adjacent fracture rate in treatments, and final decision was made considering both patients treated with PV. patients’ preference and general health conditions. Regarding future fracture prevention, we fully agree that In all cases, initial intention for VP was unilateral; there- medical treatment for osteoporosis and appropriate lifestyle fore, initial approach was always unilateral. When PMMA are very important; therefore, all patients admitted in our diffusion was not symmetrical within the vertebral body, a Institute with osteoporotic fractures receive appropriate eval- contralateral approach was performed during the same surgi- uation for adequate treatment with anti-osteoporotic drugs cal procedure in order to obtain a more symmetric augmen- after orthopedic treatment (CT or PV that may be). tation. The objective of our study takes into consideration mainly long-term outcomes; the only early postoperative Compliance with ethical standards data that were collected were PMMA complications. There- Conflict of interest No conflict of interest. fore, our study does not intend to argue with early beneficial effects of PV. * Konstantinos Martikos firstname.lastname@example.org Spinal Deformities Division, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy Vol:.(1234567890) 1 3
European Spine Journal – Springer Journals
Published: Jun 6, 2018
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