Abstract
Vertebroplasty and kyphoplasty are minimally invasive vertebral augmentation procedures that involve percutaneous image-guided injection of cement into the vertebral body. In general, most are performed for symptomatic vertebral fractures that fail conservative management. Augmentation is also common for symptomatic neoplastic fractures, osteolytic metastasis, symptomatic neoplasm, or vascular tumor. The definition of failure of conservative management is variable, but it generally is considered to have occurred when pain persists at a level that severely compromises the patient’s mobility or activities of daily living despite a reasonable therapeutic trial of analgesic therapy, or if such therapy produces unacceptable side effects, such as excessive sedation or confusion from the level of analgesia required to maintain the pain at a tolerable level.
Similar content being viewed by others
References
Barr JD, Jensen ME, Hirsch JA, McGraw JK, Barr RM, Brook AL, et al. Position statement on percutaneous vertebral augmentation: a consensus statement developed by the Society of Interventional Radiology (SIR), American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons (CNS), American College of Radiology (ACR), American Society of Neuroradiology (ASNR), American Society of Spine Radiology (ASSR), Canadian Interventional Radiology Association (CIRA), and the Society of NeuroInterventional Surgery (SNIS). J Vasc Interv Radiol. 2014;25:171–81.
Chandra RV, Meyers PM, Hirsch JA, Abruzzo T, Eskey CJ, Hussain MS, et al. Vertebral augmentation: report of the Standards and Guidelines Committee of the Society of NeuroInterventional Surgery. J Neurointerv Surg. 2014;6:7–15.
Chandra RV, Yoo AJ, Hirsch JA. Vertebral augmentation: update on safety, efficacy, cost effectiveness and increased survival? Pain Physician. 2013;16:309–20.
Berenson J, Pflugmacher R, Jarzem P, Zonder J, Schechtman K, Tillman JB, et al. Balloon kyphoplasty versus non-surgical fracture management for treatment of painful vertebral body compression fractures in patients with cancer: a multicentre, randomised controlled trial. Lancet Oncol. 2011;12:225–35.
Evans AJ, Kip KE, Brinjikji W, Layton KF, Jensen ML, Gaughen JR, Kallmes DF. Randomized controlled trial of vertebroplasty versus kyphoplasty in the treatment of vertebral compression fractures. J Neurointerv Surg. 2016;8:756–63.
Gu CN, Brinjikji W, Evans AJ, Murad MH, Kallmes DF. Outcomes of vertebroplasty compared with kyphoplasty: a systematic review and meta-analysis. J Neurointerv Surg. 2016;8:636–42.
Kallmes DF, Jensen ME. Percutaneous vertebroplasty. Radiology. 2003;229:27–36.
Stallmeyer MJB, Zoarski GH, Obuchowski AM. Optimizing patient selection in percutaneous vertebroplasty. J Vasc Interv Radiol. 2003;14:683–96.
Rad AE, Kallmes DF. Pain relief following vertebroplasty in patients with and without localizing tenderness on palpation. AJNR Am J Neuroradiol. 2008;29:1622–6.
Kaufmann TJ, Trout AT, Kallmes DF. The effects of cement volume on clinical outcomes of percutaneous vertebroplasty. AJNR Am J Neuroradiol. 2006;27:1933–7.
McGraw JK, Cardella J, Barr JD, Mathis JM, Sanchez O, Schwartzberg MS, et al. Society of Interventional Radiology quality improvement guidelines for percutaneous vertebroplasty. J Vasc Interv Radiol. 2003;14(9 Pt 2):S311–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Chandra, R.V., Slater, LA., Goldschlager, T., Leslie-Mazwi, T.M., Hirsch, J.A. (2018). Vertebral Augmentation: Vertebroplasty and Kyphoplasty. In: Diwan, S., Deer, T. (eds) Advanced Procedures for Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-319-68841-1_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-68841-1_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-68839-8
Online ISBN: 978-3-319-68841-1
eBook Packages: MedicineMedicine (R0)