Percutaneous Vertebral Body Augmentations: The State of Art

Neuroimaging Clin N Am. 2019 Nov;29(4):495-513. doi: 10.1016/j.nic.2019.07.002. Epub 2019 Aug 7.

Abstract

Osteoporotic compression fractures of the vertebral body can result in pain and long-term morbidity, including spinal deformity, with increased risk of mortality resulting from associated complications. Conservative management includes opioids and other analgesics, bed rest, and a back brace. For patients with severe and disabling pain, vertebral augmentation (vertebroplasty and kyphoplasty) is often considered, with these procedures endorsed by multiple professional societies, and provides immediate structural support, and stabilizes and reinforces the weakened bone structure. The purpose of this article is to review the vertebral biomechanics, indications and contraindications, and techniques of performing successful vertebral augmentation.

Keywords: Balloon kyphoplasty (BK); Percutaneous vertebroplasty (PV); Polymethyl methacrylate (PMMA); Vertebral compression fracture; Vertebral stent/implant (VI).

Publication types

  • Review

MeSH terms

  • Bone Cements / therapeutic use
  • Fractures, Compression / therapy*
  • Humans
  • Internal Fixators*
  • Kyphoplasty
  • Polymethyl Methacrylate / therapeutic use
  • Spinal Fractures / therapy*
  • Vertebroplasty / methods*

Substances

  • Bone Cements
  • Polymethyl Methacrylate