RT Book, Section
A1 Chandra, Ronil V.
A1 Shah, Vinil
A1 Leslie-Mazwi, Thabele M.
A1 Rabinov, James D.
A1 Yoo, Albert J.
A1 Hirsch, Joshua A.
A2 Bajwa, Zahid H.
A2 Wootton, R. Joshua
A2 Warfield, Carol A.
SR Print(0)
ID 1131938907
T1 Vertebral Augmentation
T2 Principles and Practice of Pain Medicine, 3e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071766838
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1131938907
RD 2024/04/24
AB KEY  POINTSVertebral  compression  fractures  are  a  common  cause  of  pain  and  loss  of  independence  in  middle-aged  and  elderly  adults.Vertebroplasty  and  kyphoplasty  are  minimally  invasive,  image-guided  vertebral  augmentation  procedures  that  involve  the  injection  of  cement  into  a  fractured  vertebral  body.  The  primary  goal  of  augmentation  is  pain  relief  and  enhanced  functional  status  with  the  secondary  goals  of  vertebral  body  stabilization  in  cases  of  fracture.Although  two  recent  high-profile  trials  in  the  New  England  Journal  of  Medicine  (NEJM)  found  no  benefit  to  vertebroplasty,  more  recent  randomized  controlled  trials  of  vertebral  augmentation  versus  conservative  therapy  for  both  osteoporotic  and  malignant  fractures  have  demonstrated  significant  improvements  in  back  pain,  reduction  in  disability,  and  improvement  in  quality  of  life  in  favor  of  vertebral  augmentation.Complications  are  rare  and  generally  result  from  unrecognized  extraosseous  leakage  of  the  injected  cement.  These  include  radiculopathy,  paralysis,  and  pulmonary  embolism.  These  risks  can  be  minimized  and  vertebral  augmentation  safely  performed  by  experienced  operators  using  high-quality  imaging,  preferably  with  biplane  fluoroscopy.