When is percutaneous vertebroplasty and kyphoplasty contraindicated?

Updated: Jul 29, 2020
  • Author: Jeffrey P Kochan, MD; Chief Editor: Felix S Chew, MD, MBA, MEd  more...
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Answer

Answer

Because the injection of acrylic under pressure is likely to pass through the fracture into the spinal canal, a posterior cortical defect is considered a relative contraindication for vertebroplasty.

Vertebroplasty also is contraindicated in cases involving a bone infection such as diskitis with osteomyelitis.

Kyphoplasty is not recommended for the treatment of fractures secondary to infection, most solid tumors, and vascular lesions.

The presence of a burst fracture with loss of integrity of the posterior vertebral cortex and retropulsion of a fracture fragment into the spinal canal is considered exclusionary.

Kyphoplasty is not indicated for the treatment of degenerative disk or joint disease.


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