Vertebroplasty, Kyphoplasty, and Sacroplasty

  • Dawood Sayed
  • Shervin Razavian


Vertebral augmentation, which includes vertebroplasty and kyphoplasty, is an effective therapy for those suffering from pathological vertebral body compression fractures. Several variant techniques have been described, but all essentially involve an image-guided injection of PMMA into the compressed vertebrae. Performed in a minimally invasive manner, vertebral augmentation can provide rapid pain relief with very little recovery. The burden of bony metastatic disease to the spine is significant in many forms of cancer. Risks of vertebral augmentation include nerve damage, bleeding, infection, and cement extravasation. Recent advances with kyphoplasty and cavity creation prior to PMMA injection have led to an increased safety profile when compared to standard vertebroplasty.


Vertebral augmentation Vertebroplasty Kyphoplasty Sacroplasty Bone metastasis Pathological vertebral body fracture Cancer-related pain 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Dawood Sayed
    • 1
  • Shervin Razavian
    • 2
  1. 1.University of Kansas Medical Center, Department of Anesthesiology and Pain MedicineKansas CityUSA
  2. 2.Anesthesia Associates of Kansas CityOverland ParkUSA

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