XXXX : current concepts of conservative care.

@entity1 @entity3604 @entity174 @entity170 @entity3814 @entity158
INTRODUCTION: @entity3814 ( @entity3814 ) are a growing public health problem with important socio-economic effects in western countries. In the USA, 10 million @entity1 over 50 suffer from @entity170 . In these @entity1 , 1.5 million annual @entity174 have been registered, and 50% of these are vertebral compression. SOURCES OF DATA: We performed a comprehensive search of PubMed, Medline, Cochrane, CINAHL and Embase databases using various combinations of the keywords ' @entity170 ', ' @entity3814 ', 'brace', 'bracing', 'orthosis', 'conservative management' and 'rehabilitation' over the years 1966-2011. All articles relevant to the subject were retrieved, and their bibliographies were hand searched for further references in the context of conservative management of @entity3604 . AREAS OF AGREEMENT: Conservative management for @entity1 with @entity3604 includes bed rest, @entity158 medication, physiotherapy and bracing. AREAS OF CONTROVERSY: A conservative management for @entity1 with @entity3814 s has not been standardized. The utility of vertebral augmentation techniques has been questioned by recent randomized controlled trials. GROWING POINTS: Randomized controlled trials are being performed worldwide on vertebral augmentation techniques. AREAS TIMELY FOR DEVELOPING RESEARCH: Although spinal orthoses are commonly used for the management of @entity1 with @entity3604 , in the literature there is only one randomized controlled trial on bracing for this condition. While the best conservative management for subjects with @entity3814 s is not defined and standardized, no conclusions on the superiority of vertebral augmentation techniques over conservative management can be drawn.
