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. 2008 Jan 23;2008(1):CD003376. doi: 10.1002/14651858.CD003376.pub3

Pacifici 1988.

Methods Randomized controlled trial. 
 Parallel group 
 Study length: 2 years 
 Secondary prevention 
 Blinding: open study, blinded radiologists 
 Withdrawals: 
 Etidronate: 14/30 (46.7%) 
 Control: 12/27 (44.4%) 
 Total: 26/57 (46%)
Participants Source: Women who came to one USA hospital for osteoporosis screening.
Inclusion Criteria: At least 1 non traumatic vertebral fracture and/or evidence of spinal demineralization by QCT.
Exclusion Criteria: Any condition influencing calcium metabolism or contraindicating study medications.
Treatment N = 30 
 Control N = 27 
 Age: 61 (7.8); YSM: 13.8 (9.5) 
 Calcium: 875 mg/day (406) 
 QCT: 79.1 mg/cm3 (26.3) 
 Fractures: 100% had fractures and/or evidence of demineralization on QCT
Interventions Etidronate 400mg/day with 7.5g K phosphate/cycle vs control 
 (56 days)
(1g calcium /day)
Outcomes Vertebral Fractures: Caliper measurement of vertical height for anterior, central and posterior regions of each vertebra in lateral spine films. Compression fracture was defined by a 15% greater loss of posterior height compared with nearest intact vertebrae. In vertebrae with normal posterior height, wedging and biconcave fractures were defined by a loss of anterior and central height > 20% of posterior height of same vertebrae. Number of new fractures was calculated every 12 months.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear