Vertebroplasty and kyphoplasty

Changed by Daniel J Bell, 15 Jul 2019

Updates to Article Attributes

Body was changed:

Show markup changes

Vertebroplasty is an imaging-guided procedure which entails percutaneous injection of surgical polymethylmethacrylate (PMMA) cement into a diseased vertebral body. Vertebroplasty provides pain relief and strengthening of the bone of vertebrae weakened by disease.

Indications

It can be used as a treatment or as a palliative measure for:

Contraindications

Absolute contraindications

septicaemia ⁴
active osteomyelitis of the target vertebra
uncorrectable coagulopathy
allergy to bone cement or opacifying agent

Relative contraindications

radiculopathy beyond local vertebral pain, caused by a compressive syndrome unrelated to vertebral collapse ⁴
- occasionally, preoperative vertebroplasty can be performed before a spinal decompressive procedure
retropulsion of a fracture fragment or epidural tumour extension causing signs and symptoms of neurological compromise
current systemic infection
patient improving on medical therapy
prophylaxis in osteoporotic patients
myelopathy or cauda equina syndrome originating at the fracture level

Complications

leakage of vertebroplasty
- compression of adjacent structures
- inferior vena cava syndrome ³
cement extravasation
- extravasation into paravertebral veins
- cement pulmonary embolism

-<p><strong>Vertebroplasty</strong> is an imaging-guided procedure which entails percutaneous injection of surgical polymethylmethacrylate (PMMA) cement into a diseased vertebral body. Vertebroplasty provides pain relief and strengthening of the bone of vertebrae weakened by disease.</p><h4>Indications</h4><p>It can be used as a treatment or as a palliative measure for:</p><ul>
+<p><strong>Vertebroplasty</strong> is an imaging-guided procedure which entails percutaneous injection of surgical <a title="Polymethylmethacrylate (PMMA) cement" href="/articles/polymethylmethacrylate-pmma-cement">polymethylmethacrylate (PMMA) cement</a> into a diseased vertebral body. Vertebroplasty provides pain relief and strengthening of the bone of vertebrae weakened by disease.</p><h4>Indications</h4><p>It can be used as a treatment or as a palliative measure for:</p><ul>
~~-<li>septicaemia <sup>4</sup>~~
+<li>
+<a title="Sepsis" href="/articles/sepsis">septicaemia</a> <sup>4</sup>

ADVERTISEMENT: Supporters see fewer/no ads

{"current_user":null,"inclusions":[{"imageId":573747,"studyId":12006,"caseSlug":"multiple-myeloma-2","caption":"Case 1","thumbnail":"https://prod-images-static.radiopaedia.org/images/573747/df7bc85eb3191f75f3a0bde1a720db_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":2907197,"studyId":21534,"caseSlug":"percutaneous-vertebroplasty","caption":" Case 2","thumbnail":"https://prod-images-static.radiopaedia.org/images/2907197/db0c357ae9fbfa53d422dc209d2b2d_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":5339702,"studyId":26588,"caseSlug":"vertebroplasty-1","caption":"Case 3","thumbnail":"https://prod-images-static.radiopaedia.org/images/5339702/b3cbe762447907f77f077e5db956f0_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":5832529,"studyId":27727,"caseSlug":"capsule-endoscopy-and-ivc-filter-on-abdominal-x-ray","caption":"Case 4","thumbnail":"https://prod-images-static.radiopaedia.org/images/5832529/92fa4d2214aa08e057c14b6ab8f1ef_big_gallery.jpg","isStack":false,"diagnosticCertainty":"not_applicable"},{"imageId":12683499,"studyId":38468,"caseSlug":"extravasation-of-cement-into-paravertebral-veins-in-percutaneous-vertebroplasty","caption":"Case 5a","thumbnail":"https://prod-images-static.radiopaedia.org/images/12683499/765610421de5b00078f4cae30d2499_big_gallery.JPG","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":12683595,"studyId":38469,"caseSlug":"extravasation-of-cement-into-paravertebral-veins-in-percutaneous-vertebroplasty","caption":"Case 5b","thumbnail":"https://prod-images-static.radiopaedia.org/images/12683595/318998299bf602df1a7aab7680606f_big_gallery.JPG","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":30926372,"studyId":60125,"caseSlug":"multilevel-vertebroplasty-for-osteoporotic-crush-fractures","caption":"Case 6","thumbnail":"https://prod-images-static.radiopaedia.org/images/30926372/04e9108a150007f3cbc0dbb38fa78b_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":52103247,"studyId":85593,"caseSlug":"vertebroplasty-2","caption":"Case 7","thumbnail":"https://prod-images-static.radiopaedia.org/images/52103247/91c8a18e277bbf9db3dc27da50ac85_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":57902130,"studyId":120216,"caseSlug":"bone-cement-vertebroplasty","caption":"Case 8: D12","thumbnail":"https://prod-images-static.radiopaedia.org/images/57902130/13_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"}],"ddx_inclusions":[],"lang":"us"}