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3 8 • S U P P L E M E N T T O O U T PAT I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 1 8 Conclusion Medtronic is laser-focused on enhancing treatments for patients with VCFs and partners with the National Osteoporosis Foundation and National Bone Health Alliance. The national education outreach partnerships are designed to raise awareness about spine fracture risk and BKP as a treatment alternative among 70,000-plus clinicians and consumers at society meetings and via social media channels. "We are committed to driving innovation, building upon our strong portfolio of clinical data, and educating consumers and clinicians on ways to prevent, diagnose and treat patients with vertebral compression fractures," says Mr. Cambra. Since surgeons performed the first Medtronic Kyphon® Balloon Kyphoplasty procedures in 1998, the technology has been used to treat more than 1 million fractures. Drs. Ong, Beall and Hirsch are hopeful the new analyses will shed light on the implications of VCF treatment patterns and add to the conversation. "These findings give a real insight in the implications of the shifting in treatment patterns," concludes Dr. Ong. "I think our study will add to the debate about whether VCF patients should be treated with augmentation." Medtronic plc (www.medtronic.com), headquartered in Dublin, Ireland, is among the world's largest medical technology, services and solutions companies – alleviating pain, restoring health and extending life for millions of people around the world. Medtronic employs more than 88,000 people worldwide, serving physicians, hospitals and patients in approximately 160 countries. The company is focused on collaborating with stakeholders around the world to take healthcare Further, Together. References 1 Kallmes D, et. al, A Randomized Trial of Vertebroplasty for Osteoporotic Spinal Fractures. The New England Journal of Medicine. 2009 Aug. DOI: 10.1056/NEJMoa0900563. 2 Buchbinder R, et. al, A Randomized Trial of Vertebroplasty for Painful Osteoporotic Vertebral Fractures. The New England Journal of Medicine. 2009 Aug. DOI: 10.1056/NEJMoa0900429. 3 Lindsay R, et al., Risk of new vertebral fracture in the year following a fracture. JAMA. 2001; 285(3):320-334Ross P, et al., Pre-Existing Fractures and Bone Mass Predict Vertebral Fracture Incidence in Women. Ann Intern Med. 1991; 114(11):919-923. 5 Kado DM, et al. (1999) Arch Intern Med 159:1215 6 Ong KL, Beall DP, Frohbergh M, Lau E, Hirsch JA. Were VCF patients at higher risk of mortality following the 2009 publication of the vertebroplasty "sham" trials? Osteoporosis International 2017 Oct 24. doi: 10.1007/s00198-017-4281-z. PubMed PMID: 29063215. 7 Edidin AA, Ong KL, Lau E, Kurtz SM. Morbidity and Mortality after Vertebral Fractures: Comparison of Vertebral Augmentation and Non-Operative Management in the Medicare Population. Spine (Phila Pa 1976). 2015 Aug 1;40(15):1228-41. doi: 10.1097. PubMed PMID: 26020845. 8 Lange A, Kasperk C, Alvares L, Sauermann S, Braun S. Survival and cost comparison of kyphoplasty and percutaneous vertebroplasty using German claims data. Spine (Phila Pa 1976). 2014 Feb 15;39(4): 318-26. doi: 10.1097/BRS.0000000000000135. PubMed PMID: 24299715. 9 McCullough BJ, Comstock BA, Deyo RA, Kreuter W, Jarvik JG. Major medical outcomes with spinal augmentation vs conservative therapy. JAMA Intern Med. 2013 Sep 9;173(16):1514-21. doi: 10.1001/jamaint-ernmed.2013.8725. PubMed PMID: 23836009; PubMed Central PMCID: PMC4023124. 10 Chen A, et. al, Impact of Nonoperative Treatment, Vertebroplasty, and Kyphoplasty on Survival and Morbidity After Vertebral Compression Fracture in the Medicare Population. J Bone & Joint Surgery, 2013. 11 Edidin AA, Ong KL, Lau E, Kurtz SM. Mortality risk for operated and nonoperated vertebral fracture patients in the medicare population. J Bone Miner Res. 2011 Jul;26(7):1617-26. doi: 10.1002/jbmr.353. 12 Wardlaw D, et al., Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. The Lancet. 2009 Feb. DOI: 10.1016/S0140-6736(09)60010-6. 13 Klazen CA, et al. Clinical course of pain in acute osteoporotic vertebral compression fractures. Journal of Vascular and Interventional Radiology. 2010 Sept. DOI: 10.1016/j.jvir.2010.05.018. PMD020431-1.0 UC201806890 EN Kyphon™ Balloon Kyphoplasty incorporates technology developed by Gary K. Michelson, M.D.