Vertebroplasty - minimally invasive treatment for vertebral fractures

Abstract

Background and purpose: Vertebral fracture is the most common complication of osteoporosis and sometimes also in osteolytic methastasis, active hemangiomas or multiple myelomas. We present the indications, technique, complications, etc. Methods: Vertebroplasty is the percutaneous placement of polymethylmethacrylate (PMMA) into vertebral compression fractures for relief of pain, performed under fluoroscopic guidance while the exact mechanism of pain relief is unknown, it is believed that the delivery of the ciment into the fracture stabilizes the vertebral body, obtaining an analgesic effect. Results: We present our experience of 14 years in percutaneous vertebroplasty (and kyphoplasty) with common indications, results, complications, new indications, tips and tricks, etc. Conclusions: Vertebroplasty is an alternative to spinal surgery. In experienced centers, percuta-neous vertebroplasty is safe and effective in the treatment of patients with painful vertebral com-pression fractures.