What are the indications for percutaneous vertebroplasty and kyphoplasty?

Updated: Jul 29, 2020
  • Author: Jeffrey P Kochan, MD; Chief Editor: Felix S Chew, MD, MBA, MEd  more...
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Vertebroplasty and kyphoplasty are radiologic procedures for the treatment of the intense pain caused by vertebral compression fractures that is refractory to conventional therapies such as analgesic use, bed rest, and bracing.

Vertebroplasty may also be applied prophylactically to an at-risk vertebra between 2 other abnormal vertebrae.

Kyphoplasty is a refinement of the vertebroplasty procedure. In addition to the reduction of fracture-related pain, some or all of the height is restored to the compressed vertebral body.

Kyphoplasty is most effective with acute compression fractures secondary to either trauma or osteoporosis (vs fractures secondary to infection, solid tumors, or vascular lesions).

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