Some of the material in is restricted to members of the community. By logging in, you may be able to gain additional access to certain collections or items. If you have questions about access or logging in, please use the form on the Contact Page.
The answer remains unclear. Nasal salmon calcitonin is effective for analgesia of vertebral compression fractures (SOR A, based on a systematic review of randomized controlled trials [RCTs]). Although percutaneous vertebroplasty is slightly more effective than balloon kyphoplasty for reducing pain, it also has a higher refracture rate (SOR A, based on a meta-analysis). Isometric back-extensor muscle strengthening and proprioceptive postural retraining is more effective for prolonging time between refractures if there has not been a vertebroplasty (SOR B, based on a case series).