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Vertebroplasty and Other Methods of Vertebral Augmentation

  • Julian Maingard
  • Nicole S. Carter
  • Hamed Asadi
  • Lee-Anne Slater
  • Thabele Leslie-Mazwi
  • Joshua A. Hirsch
  • Ronil V. ChandraEmail author
Chapter

Abstract

Vertebral compression fractures are an important cause of back pain and disability in patients with osteoporosis and spinal neoplasms. Vertebroplasty is a minimally invasive procedure that involves the percutaneous injection of cement into the fractured vertebral body. This procedure is generally offered as a treatment option for a small subset of patients with symptomatic osteoporotic or neoplastic vertebral fractures that result in significant pain and disability.

There is high-quality evidence to treat selected patients with severe pain within 6 weeks of osteoporotic vertebral fracture. There is moderate quality of evidence regarding the effectiveness of these procedures in the treatment of subacute and chronic osteoporotic and neoplastic vertebral compression fractures. Appropriate patient selection combined with careful procedural techniques results in the best patient outcomes. This chapter will outline the historical background and evidence for efficacy and safety and discuss clinical pearls to aid clinicians in optimizing patient selection and procedural outcomes from vertebroplasty.

Keywords

Vertebral augmentation Vertebral fracture Vertebroplasty Osteoporosis Cement Percutaneous Pain Cancer Metastases 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Julian Maingard
    • 1
    • 2
  • Nicole S. Carter
    • 3
  • Hamed Asadi
    • 1
    • 2
    • 4
  • Lee-Anne Slater
    • 3
    • 4
  • Thabele Leslie-Mazwi
    • 5
    • 6
  • Joshua A. Hirsch
    • 5
    • 6
  • Ronil V. Chandra
    • 3
    • 4
    Email author
  1. 1.Interventional Neuroradiology Service – Department of RadiologyAustin HospitalMelbourneAustralia
  2. 2.School of Medicine – Faculty of HealthDeakin UniversityWaurn PondsAustralia
  3. 3.Faculty of Medicine, Nursing and Health SciencesMonash UniversityMelbourneAustralia
  4. 4.Interventional Neuroradiology UnitMonash Imaging, Monash HealthMelbourneAustralia
  5. 5.Neuroendovascular ProgramMassachusetts General HospitalBostonUSA
  6. 6.Harvard Medical SchoolBostonUSA

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