This protocol applies to adults with acute osteoporotic vertebral compression fractures who have already undergone a structured first-line approach — including bracing and pharmacological pain management — but have not achieved adequate relief of vertebral back pain.
The first line of management for acute osteoporotic vertebral compression fractures includes bracing in combination with calcitonin, teriparatide, or bisphosphonates, targeting relief of vertebral back pain. When that goal is not achieved — when pain persists despite this initial approach — a structured next step is indicated.
Vertebral augmentation is recommended as it provides rapid and sustained clinically and statistically significant improvement in pain and function in adults with acute osteoporotic vertebral compression fractures.