Vertebroplasty

Overview

Journal Semin Intervent Radiol

Specialty Radiology

Date 2014 Jan 18

PMID 24436552

Citations 22

Authors

Bryan Jay

Sun Ho Ahn

Affiliations

Soon will be listed here.

Abstract

Percutaneous vertebroplasty has become widely accepted as a safe and effective minimally invasive procedure for the treatment of painful vertebral body compression fractures refractory to medical therapy. In this article, the authors review the indications and contraindications for vertebroplasty, principles of appropriate patient selection, useful techniques to achieve optimal outcomes, and the potential risks and complications of the procedure.

Citing Articles

Re-evaluating vertebral height restoration assessment in osteoporotic compression fractures: a systematic review and meta-analysis.

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Transforaminal Endoscopic Lumbar Foraminotomy for Iatrogenic Foraminal Stenosis Following Vertebroplasty.

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Delayed onset of anterior spinal artery syndrome caused by retropulsed bone fragment after kyphoplasty: Case report and literature review.

Copeland R, Reeh C, DSouza R, Ege E, Briggi D, Vangeison C Interv Pain Med. 2024; 2(3):100264.

PMID: 39238915 PMC: 11373003. DOI: 10.1016/j.inpm.2023.100264.

An Outline on the Advancements in Surgical Management of Osteoporosis-Associated Fractures.

Hakami I Cureus. 2024; 16(6):e63226.

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Osteoporosis management-current and future perspectives - A systemic review.

Anish R, Nair A J Orthop. 2024; 53:101-113.

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References

McDonald R, Trout A, Gray L, Dispenzieri A, Thielen K, Kallmes D . Vertebroplasty in multiple myeloma: outcomes in a large patient series. AJNR Am J Neuroradiol. 2008; 29(4):642-8. PMC: 7978179. DOI: 10.3174/ajnr.A0918. View

Cyteval C, Sarrabere M, Roux J, Thomas E, Jorgensen C, Blotman F . Acute osteoporotic vertebral collapse: open study on percutaneous injection of acrylic surgical cement in 20 patients. AJR Am J Roentgenol. 1999; 173(6):1685-90. DOI: 10.2214/ajr.173.6.10584820. View

Ide C, Gangi A, Rimmelin A, Beaujeux R, Maitrot D, BUCHHEIT F . Vertebral haemangiomas with spinal cord compression: the place of preoperative percutaneous vertebroplasty with methyl methacrylate. Neuroradiology. 1996; 38(6):585-9. DOI: 10.1007/BF00626105. View

Borgstrom F, Zethraeus N, Johnell O, Lidgren L, Ponzer S, Svensson O . Costs and quality of life associated with osteoporosis-related fractures in Sweden. Osteoporos Int. 2005; 17(5):637-50. DOI: 10.1007/s00198-005-0015-8. View

Jensen M, Evans A, Mathis J, Kallmes D, Cloft H, Dion J . Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. AJNR Am J Neuroradiol. 1997; 18(10):1897-904. PMC: 8337380. View

Riggs B, Melton 3rd L . The worldwide problem of osteoporosis: insights afforded by epidemiology. Bone. 1995; 17(5 Suppl):505S-511S. DOI: 10.1016/8756-3282(95)00258-4. View

Kado D, Browner W, Palermo L, Nevitt M, Genant H, Cummings S . Vertebral fractures and mortality in older women: a prospective study. Study of Osteoporotic Fractures Research Group. Arch Intern Med. 1999; 159(11):1215-20. DOI: 10.1001/archinte.159.11.1215. View

Firanescu C, Lohle P, de Vries J, Klazen C, Juttmann J, Clark W . A randomised sham controlled trial of vertebroplasty for painful acute osteoporotic vertebral fractures (VERTOS IV). Trials. 2011; 12:93. PMC: 3083362. DOI: 10.1186/1745-6215-12-93. View

Kallmes D, Comstock B, Heagerty P, Turner J, Wilson D, Diamond T . A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med. 2009; 361(6):569-79. PMC: 2930487. DOI: 10.1056/NEJMoa0900563. View

10.

Kallmes D, Jensen M . Percutaneous vertebroplasty. Radiology. 2003; 229(1):27-36. DOI: 10.1148/radiol.2291020222. View

11.

Hadjipavlou A, Tzermiadianos M, Katonis P, Szpalski M . Percutaneous vertebroplasty and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures and osteolytic tumours. J Bone Joint Surg Br. 2005; 87(12):1595-604. DOI: 10.1302/0301-620X.87B12.16074. View

12.

Cotten A, Dewatre F, Cortet B, Assaker R, Leblond D, Duquesnoy B . Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology. 1996; 200(2):525-30. DOI: 10.1148/radiology.200.2.8685351. View

13.

Boszczyk B . Volume matters: a review of procedural details of two randomised controlled vertebroplasty trials of 2009. Eur Spine J. 2010; 19(11):1837-40. PMC: 2989255. DOI: 10.1007/s00586-010-1525-4. View

14.

Johnell O, Kanis J . An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006; 17(12):1726-33. DOI: 10.1007/s00198-006-0172-4. View

15.

Gangi A, Sabharwal T, Irani F, Buy X, Morales J, Adam A . Quality assurance guidelines for percutaneous vertebroplasty. Cardiovasc Intervent Radiol. 2005; 29(2):173-8. DOI: 10.1007/s00270-005-0146-5. View

16.

Cotten A, Boutry N, Cortet B, Assaker R, Demondion X, Leblond D . Percutaneous vertebroplasty: state of the art. Radiographics. 1998; 18(2):311-20; discussion 320-3. DOI: 10.1148/radiographics.18.2.9536480. View

17.

Acosta Jr F, Sanai N, Chi J, Dowd C, Chin C, Tihan T . Comprehensive management of symptomatic and aggressive vertebral hemangiomas. Neurosurg Clin N Am. 2007; 19(1):17-29. DOI: 10.1016/j.nec.2007.09.010. View

18.

Hulme P, Krebs J, Ferguson S, Berlemann U . Vertebroplasty and kyphoplasty: a systematic review of 69 clinical studies. Spine (Phila Pa 1976). 2006; 31(17):1983-2001. DOI: 10.1097/01.brs.0000229254.89952.6b. View

19.

Klazen C, Lohle P, de Vries J, Jansen F, Tielbeek A, Blonk M . Vertebroplasty versus conservative treatment in acute osteoporotic vertebral compression fractures (Vertos II): an open-label randomised trial. Lancet. 2010; 376(9746):1085-92. DOI: 10.1016/S0140-6736(10)60954-3. View

20.

Al-Ali F, Barrow T, Luke K . Vertebroplasty: what is important and what is not. AJNR Am J Neuroradiol. 2009; 30(10):1835-9. PMC: 7051314. DOI: 10.3174/ajnr.A1732. View