What are the contraindications for percutaneous vertebroplasty (PVP)?

Updated: Nov 12, 2019
  • Author: Gaurav Gupta, MD; Chief Editor: Justin A Siegal, MD  more...
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Answer

Answer

Absolute contraindications: [15]

  • Fractures that are asymptomatic

  • Active osteomyelitis of the target vertebra

  • Coagulopathy that is not amenable to correction

  • Allergy to cement or opacifying agent used in procedure

  • Fractures that cause compromise of the spinal canal and subsequent myelopathy or radiculopathy

Relative contraindications: [15]

  • Significant central canal narrowing from retropulsion of bony fragment or epidural tumor

  • Ongoing systemic infection

  • Disruption of the posterior cortex of the vertebral body


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