The Intravertebral Cleft in Painful Long-Standing Osteoporotic Vertebral Compression Fractures Treated With Percutaneous Vertebroplasty: Diagnostic Assessment and Clinical Significance
Nieuwenhuijse MJ et al. – There is variation between observers in the identification of an intravertebral cleft, and the identification of an intravertebral cleft is not always straightforward. For preoperative assessment, the authors recommend MRI with T1–weighted and short–tau–inversion–recovery sequences. Regarding patient–reported outcome, patients with long–standing osteoporotic vertebral compression fractures (OVCFs) with intravertebral clefts benefit from percutaneous vertebroplasty (PVP), but, compared with patients with OVCFs without intravertebral clefts, the benefit obtained was not superior and may be delayed.