What is the role of vertebroplasty in the treatment of low back pain (LBP)?

Updated: Aug 22, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Answer

Vertebroplasty is an outpatient percutaneous technique that involves the placement of a needle (or needles) into a fractured vertebral body, whereby the injection of bone cement strengthens the structure, repairs or lessens the deformity, and reduces associated pain. The level of evidence for the efficacy of vertebroplasty is estimated as moderate. Kyphoplasty is performed similarly, but a balloon tamponade is first placed inside the vertebral body. Inflation of the balloon creates a cavity, which is then filled with cement. This procedure was adapted to reduce any thermal discomfort from the cement; more importantly, the balloon reduces the incidence and risk of uncontained cement to threatening nearby neural structures. The level of evidence for efficacy of kyphoplasty is also estimated as moderate. [136]


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