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Comment & Response
April 2014

Treatment of Osteoporotic Vertebral Fractures

Author Affiliations
  • 1School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, Pennsylvania
  • 2Exponent Inc, Philadelphia, Pennsylvania
JAMA Intern Med. 2014;174(4):642. doi:10.1001/jamainternmed.2013.13490

To the Editor We read with interest the article by McCullough et al.1 The authors have used the Medicare data set to perform a mortality analysis and cited our study2 as being in contrast to their findings. Their study suggests that, because of selection bias, our finding that vertebral augmentation had a measurable and positive effect on mortality was incorrect. However, we stand by our finding and note several important limitations of the study by McCullough et al.1

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