Percutaneous vertebral augmentation.
Publication/Presentation Date
1-1-2004
Abstract
BACKGROUND CONTEXT: With the aging of the population, painful osteoporotic compression fractures are becoming more common.
PURPOSE: To review the physiologic implications of these injuries as well as treatment options and outcomes, especially with reference to newer, percutaneous "augmentation" procedures, that is, vertebroplasty and kyphoplasty.
STUDY DESIGN/SETTING: A literature review.
METHODS: No direct, randomized studies comparing vertebroplasty, kyphoplasty and standard, nonoperative care are available.
RESULTS: The growing literature suggests a role for kyphoplasty and vertebroplasty in the management of patients with intractable pain or progressive vertebral collapse after vertebral compression fracture. Both procedures likely offer similar rates of pain relief. Kyphoplasty, although more expensive, may allow fracture reduction. The void created with the balloon tamp allows a more viscous cement to be applied, thereby decreasing the risk of extravasation.
CONCLUSIONS: More study is required to understand the ideal role of these new techniques in the management of spinal osteoporosis and associated fractures. However, for carefully selected cases, current data suggest that the complication rates are low and pain relief can be profound.
Volume
4
Issue
2
First Page
218
Last Page
229
ISSN
1529-9430
Published In/Presented At
Truumees, E., Hilibrand, A., & Vaccaro, A. R. (2004). Percutaneous vertebral augmentation. The spine journal : official journal of the North American Spine Society, 4(2), 218–229. https://doi.org/10.1016/j.spinee.2003.08.029
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
15016401
Department(s)
Administration and Leadership
Document Type
Article