Current Perspectives on Percutaneous Vertebroplasty : Current EvidenceControversies, Patient Selection and Assessment, and Technique and Complications

Abstract EN

Osteoporotic-associated vertebral compression fractures are a major public health concern, dwarfing even hip fractures in incidence in the United States.

These fractures carry a significant morbidity and mortality burden and also represent a major growing source of consumption of scarce heath resources.

Percutaneous vertebroplasty remains a commonly used and safe technique for the symptomatic treatment of vertebral compression fractures, both osteoporotic- and neoplastic-induced.

By carefully selecting appropriate patients who are referred promptly, vertebroplasty can provide significant and durable pain relief over traditional conservative therapy.

Recent controversies surrounding the evidence for vertebroplasty in osteoporotic-associated vertebral compression fractures are reviewed.

A comprehensive step-by-step practical guide to performing vertebroplasty is then described.

A brief description of patient selection, workup, as well as complications is also provided.