Fig. 2 The mean VAS pain score and JOA lower back pain score changes in groups A and B. Data are expressed as mean ± SD. The decrease in VAS and the increase in JOA scores were significant between groups A and B at 6, 12, and 18 months, respectively. (*p < 0.05, ★p < 0.01) VAS visual analog scale, JOA Japanese Orthopedic Association In group B, three patients had intolerable side effects and needed to change PRN1371 datasheet antiresorptive agents.

The mean VAS score was 8.13 ± 0.95 (range, 6–10) prior Savolitinib price to treatment and 4.09 ± 1.31 1 months after PVP plus antiresorptive agent treatment. The mean VAS score was 3.27 ± 1.42 after 6 months, 2.95 ± 1.56 after 12 months, and 3.14 ± 1.58 (range, 1–6) after 18 months of PVP plus antiresorptive treatment (Fig. 2). The VAS scores of all patients in group B were >0, and two patients were analgesic free at 18 months of follow-up. The VAS selleckchem scores of the two groups were significantly different at each time point, beginning at 6 months (p < 0.05). The mean JOA score in group A was 9.95 ± 4.02 prior to treatment and 18.59 ± 3.28 after 1 month of treatment. A significant increase in the

mean JOA score occurred after 1 month of treatment with teriparatide. The mean JOA score was 21.23 ± 2.62 (range, 16–24; p = 0.001) after 6 months and 24.18 ± 2.79 after 12 months of teriparatide treatment and then increased to 26.00 ± 2.51 (range, 17–29) after 18 months of teriparatide treatment (p = 0.001, all the differences between baseline and 6 months, 6 months and 12 months, and 12 months and 18 months were Isotretinoin significant). Three patients had full JOA scores, and four were analgesic free at 20 months of follow-up. In group B, the mean JOA score was 11.59 ± 3.46 prior to treatment, 17.32 ± 3.41 after 1 month of treatment, 18.09 ± 2.58

(range, 16–24; p = 0.001) after 6 months of vertebroplasty combined with an antiresorptive treatment, and 19.41 ± 2.68 after 12 months of teriparatide treatment. After 18 months of treatment, the mean JOA score did not increase, but decreased slightly to 18.80 ± 3.33 (range, 13–26). No patient had a full JOA score, and two were analgesic free at 20 months of follow-up. The mean JOA scores of the two groups were significantly different at each time point, beginning at 6 months (p < 0.05). The VAS score in group A was significantly lower than that in group B after 6 months of treatment (p = 0.003). Similarly, the JOA score in group A was significantly higher than in group B after 6 months (P = 0.000). In group A (teriparatide group), only one patient developed a new-onset adjacent compression fracture after teriparatide treatment. That patient was a 72-year-old woman with severe osteoporosis (T-score, −4.30) who underwent vertebroplasty for an L2 compression fracture. A new-onset adjacent VCF at L3 occurred 78 days after PVP. The patient was started on teriparatide treatment on the day the new-onset fracture was diagnosed.