Osteoporosis, bone & mineral

Conservative treatments for non-surgically managed osteoporotic vertebral compression fractures: a network meta-analysis of long-term pain and quality of life

Osteoporos IntPublished Systematic review and network meta-analysis of randomised controlled trials

Authors' conclusion

Teriparatide is the most effective non-surgical intervention for long-term pain and QoL outcomes in OVCF patients.

Study context

Population
Adults (≥ 50 years) with radiographically confirmed osteoporotic vertebral compression fractures12 articles
Participants
1,512 adults
Comparison
Conservative interventions for osteoporotic vertebral compression fractures (OVCFs)
Outcome
Long-term pain relief and QoL improvement
Follow-up
≥ 6 months
Methodological detailsPRISMA-NMA, frequentist random-effects model
  • PRISMA-NMA
  • Frequentist random-effects model

Pooled result

As reported in the abstract

SMD

- 1.75

95% CI - 3.10 to - 0.39

Teriparatide · pain reduction

SMD

+ 3.90

95% CI 2.33–5.47

Teriparatide · quality of life (QoL) improvement

SMD

+ 3.47

Denosumab · QoL improvement; moderate benefit

Original publication

Conservative treatments for non-surgically managed osteoporotic vertebral compression fractures: a network meta-analysis of long-term pain and quality of life. Osteoporos Int. Published 13 January 2026. doi:10.1007/s00198-025-07823-4

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