Revision 17 for 'Vertebroplasty'

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Vertebroplasty

Vertebroplasty is an imaging-guided procedure which entails percutaneous injection of surgical polymethylmethacrylate (PMMA) or 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 treatment or as palliative  in:

Contraindications

Absolute contraindications
  • septicemia 4
  • active osteomyelitis of the target vertebra
  • uncorrectable coagulopathy
  • allergy to the 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 beforehand a spinal decompressive procedure
  • retropulsion of a fracture fragment or epidural tumor 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

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