To The Editor We read with interest the Invited Commentary by Dr Bauer.1 We believe there are portions of his comments that lack scientific support.
The author states that “Although uncontrolled studies have consistently demonstrated reduced short-term pain and disability after vertebral augmentation, randomized trial results have been inconsistent.”1(p1522) In fact, if all Oxford level I and level II data are considered, there are 27 studies, including 8 randomized clinical trials. This collection of articles shows significant reductions in pain, improvement in quality of life, fewer subsequent fractures, and greater kyphosis reduction.2
Levy JR, Beall DP. Vertebral Augmentation for Symptomatic Compression Fractures Is Supported by Randomized Clinical Trials. JAMA Intern Med. 2014;174(2):307. doi:10.1001/jamainternmed.2013.13035