Evidence-Based Clinical Guidelines

Multidisciplinary Spine Care

Diagnosis and Treatment of Adults with Osteoporotic Vertebral Fractures

Preface

Authors & Contributors

Evidence-Based Guideline Development Committee Co-Chair & Project Lead: Charles H. Cho, MD, MBA

Interventional & Diagnostic Radiologist

Brigham and Women’s Hospital, Harvard Medical School

Boston, MA

Natural History/Cost Effectiveness Work Group

Section Chair:

Steven W. Hwang, MD

Neurosurgeon

Shriners Children’s Philadelphia

Philadelphia, PA, USA

Thiru M. Annaswamy, MD, MA

Physiatry/Rehabilitation Medicine

Penn State Health Milton S. Hershey Medical Center and Penn State College of Medicine

Hershey, PA, USA

Sean D. Christie, MD, FRCSC, FAANS

Neurosurgeon

Dalhousie University and Nova Scotia Health

Halifax, NS, Canada

Justin M. Goehl, DC, MS

Chiropractor

Dartmouth Health

Lebanon, NH, USA

G. Alexander Jones, MD

Neurosurgeon

Endeavor Health

Elmhurst, IL, USA

Clinical Diagnosis/ Medical Treatment Work Group

Section Chair:

Daniel J. Mazanec, MD

Internist

Cleveland Clinic

Cleveland, OH, USA

Cumhur Kilincer, MD, PhD

Neurosurgeon

Trakya University Faculty of Medicine, Neurosurgery Department

Edirne, Turkey]

Manish K. Kasliwal, MD, MCh

Neurosurgeon

University Hospitals Cleveland Medical Center/Case Western Reserve University

Cleveland, OH, USA

Justin M. Lantz, DPT

Physical Therapist

Division of Biokinesiology and Physical Therapy

Department of Family Medicine

University of Southern California

Los Angeles, CA, USA

Andrea L. Strayer, PhD, ARNP, CNRN

Assistant Professor | Nurse Practitioner

Department of Neurosurgery

Carver College of Medicine

University of Iowa

Iowa City, IA, USA

VA Quality Scholar, VA Iowa City Healthcare System

Iowa City, IA, USA

Andrew N. Vo, MD

Physiatry/Rehabilitation Medicine

Orthopaedic Associates of Wisconsin

Pewaukee, WI, USA

Imaging Diagnosis/ Interventional Treatment Work Group 1

Imaging Question 1.

Interventional Questions 5, 6, 7

Section Chair:

William C. Watters III, MD, MMS, MS

Orthopedic Surgeon

University of Texas Medical Branch - Clinical Professor of Orthopedics

Houston, TX, USA

Ahmed Shawky Abdelgawaad, MD, MHBA

Orthopedic Surgeon

Helios Hospitals Erfurt - Germany

Assiut University Hospitals - Egypt

Erfurt, Germany

David S. Cheng, MD

Physiatry/Rehabilitation Medicine

VA Long Beach Healthcare System

Long Beach, CA, USA

Piyush Kalakoti, MD

Researcher

Johns Hopkins Bloomberg School of Public Health

Johns Hopkins University

Baltimore, MD, USA

Department of Surgery, Yale School of Medicine

New Haven, CT, USA

Jeffrey A. Stone, MD, FACR

Diagnostic and Interventional Neuroradiologist

Mayo Clinic Florida

Jacksonville, FL, USA

Imaging Diagnosis/

Interventional Treatment Work Group 2

Imaging Question 1.

Interventional Questions 1, 2, 3, 4, 8

Section Chair: John E. Easa, MD, FIPP*

*In Memoriam: John E. Easa, MD, FIPP passed away on July 1, 2023, before publication of this document.

Allan L. Brook, MD, FSIR, FACR

Interventional Neuroradiologist

Montefiore Medical Center

Bronx, NY, USA

Dennis E. Enix, DC, MBA

Researcher

St. Louis, MO, USA

Gazanfar Rahmathulla, MD, MBBS

Neurosurgeon

Mayo Clinic Health System, WI

Eau Claire, WI, USA

K. Aaron Shaw, DO

Orthopedic Surgeon

Children's Mercy Kansas City

Kansas City, MO, USA

Niranjan U. Kavadi, MD, FAAOS

Orthopedic Surgeon

Oklahoma City VA Medical Center

Department of Orthopedic Surgery

University of Oklahoma Health Sciences

Oklahoma City, OK, USA

Surgical Treatment Work Group

Section Chair: John E. O’Toole, MD, MS

Neurosurgeon | Rush University Medical Center | Chicago, IL, USA

Zachary A. Cupler, DC, MS Chiropractor Butler VA Health Care System Butler, PA, USA

Marjorie Eskay-Auerbach, MD, JD Orthopedic Surgeon Tucson, AZ, USA

Tom Reinsel, MD Orthopedic Surgeon Cincinnati VA Medical Center Cincinnati, OH, USA

Staff

Amy Skuteris, MS, RDN

North American Spine Society | Burr Ridge, IL, USA

Acknowledgements

Paul Matz, MD provided project lead support until November 1, 2021.

The following individuals contributed to project activities at some point of development:

Clinical Diagnosis/Medical Treatment Work Group: Christina L. Goldstein, MD, FRCSC; Isaac L. Moss, MD; Adeolu Olasunkanmi, MS, MD.

Imaging Diagnosis/Interventional Treatment Work Group 1: Richard J. Meagher, MD.

Imaging Diagnosis/Interventional Treatment Work Group 2: Erika V. Tapia Flores, MD.

Surgical Treatment Work Group: Manuel Sanchez-Lugo, MD; Anil K. Sharma, MD.

Irum Hameeduddin, MPH, MSMOB, Aashka Trivedi, Natalie Neps, PT, DPT, and Kelly Campbell, MS, provided additional staff support.

Tyler Verity, AAOS Medical Research Librarian, conducted the literature search.

Veterans Affairs Acknowledgement:

The work of Andrea Strayer, PhD, ARNP, CNRN was supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Academic Affiliations VA Quality Scholars Advanced Fellowship Program. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government. Program Award Number 3Q052019C.

Financial Statement/Disclosures

This clinical guideline was developed and funded in its entirety by the North American Spine Society (NASS). All participating authors have disclosed potential conflicts of interest consistent with NASS’ disclosure policy. Disclosures of all authors and contributors are listed in the technical report associated with this document.

Comments

Comments regarding this guideline may be submitted to the NASS and will be considered in development of future revisions of the work.

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