Evidence map›Paper›PMID 42198860›Full record

ArticleYonsei medical journal2026

Bone Bridge Effect for the Treatment of Acute Osteoporotic Vertebral Compression Fractures: A Multistrategic Approach Using an Anabolic Agent.

Ja-Yeong Yoon, Sung-Min Kim, Seong-Hwan Moon, Hak-Sun Kim, Kyung-Soo Suk, Si-Young Park, Ji-Won Kwon, Byung Ho Lee

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Article in Yonsei medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ja-Yeong YoonDepartment of Orthopaedic Surgery, Chungnam National University Sejong Hospital, Sejong, Korea.ORCID https://orcid.org/0000-0003-2696-4302
Sung-Min KimDepartment of Orthopaedic Surgery, Kyung-Hee University Hospital at Gangdong, Seoul, Korea.ORCID https://orcid.org/0000-0003-4935-9412
Seong-Hwan MoonDepartment of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5165-1159
Hak-Sun KimDepartment of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8330-4688
Kyung-Soo SukDepartment of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-0633-2658
Si-Young ParkDepartment of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1216-901X
Ji-Won KwonDepartment of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4880-5310
Byung Ho LeeDepartment of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea. bhlee96@yuhs.ac.ORCID https://orcid.org/0000-0001-7235-4981

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the bone bridge effect (BBE) and compare treatment outcomes of different osteoporosis medications in patients with lumbar osteoporotic vertebral compression fractures (OVCF). MATERIALS AND

methodsThis study followed 264 patients with lumbar OVCFs undergoing conservative treatment for more than 12 months. Patients were divided into four groups based on medication: denosumab monotherapy (group D), teriparatide and denosumab combination (group TDco), sequential romosozumab followed by denosumab (group RDse), and bisphosphonate monotherapy (group B). Changes in bone mineral density (BMD), radiological parameters including BBE, and visual analog scale (VAS) scores were compared from injury to 1 year post-injury.

resultsThe 1-year BBE incidence was highest in groups treated with anabolic agents: group RDse (56.3%) and group TDco (51.8%). These rates were significantly higher than in group D (28.6%) and group B (21.1%). The annual BMD increase was significantly greater in group TDco (1.04) compared to the other groups (RDse: 0.63; D: 0.55; B: 0.35). VAS scores decreased significantly by the 3-month mark in anabolic agent groups and in patients with confirmed BBE, indicating rapid pain relief. Multivariate logistic regression analysis confirmed that anabolic agent groups (TDco and RDse) were significant independent predictors of BBE formation (odds ratio 2.717 and 3.472, respectively), even after adjusting for confounding variables such as initial BMD.

conclusionAnabolic agents appeared to be associated with more BBE formation, greater BMD gains, and faster pain reduction compared to anti-resorptive agents. Therefore, treatment strategies using anabolic agents, such as those in groups TDco and RDse, may be important considerations for treating patients with OVCFs.

Indexed as

Anabolic AgentsBone Density Conservation AgentsFractures, CompressionOsteoporotic FracturesSpinal FracturesAgedAged, 80 and overBone DensityDenosumabFemaleHumansLumbar VertebraeMaleMiddle AgedTeriparatideTreatment OutcomeAnabolic AgentsBone Density Conservation AgentsDenosumabTeriparatideanabolic agentsbone bridge effectOsteoporosisosteoporotic vertebral compression fracturestreatment strategy

Identifiers

PMID42198860
PMCPMC13213264

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.