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Vertebroplasty for osteoporotic compression fractures: current practice and evolving techniques.

Kieth R Peters1, Bernard H Guiot, Pamela A Martin

  • 1Institute for Spine Care, Chicago Institute of Neurosurgery and Neuroresearch, Chicago, Illinois, USA.

Neurosurgery
|September 18, 2002
PubMed
Summary

Perutaneous vertebroplasty, a minimally invasive procedure, uses bone cement to stabilize vertebral bodies. Initially for hemangiomas, it now treats osteolytic metastases, myeloma, and severe osteoporotic fractures.

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Area of Science:

  • Orthopedic Surgery
  • Interventional Radiology
  • Medical Device Technology

Background:

  • Perutaneous vertebroplasty was pioneered in France in 1987.
  • It is a minimally invasive technique to access and stabilize vertebral bodies.

Purpose of the Study:

  • To review the current technique and indications for percutaneous vertebroplasty.
  • To discuss emerging devices and current research in the field.

Main Methods:

  • Percutaneous access to vertebral bodies using a bone-cutting needle.
  • Injection of bone cement to stabilize and reinforce bone structure.

Main Results:

  • Procedure initially used for aggressive hemangiomas.
  • Expanded indications include osteolytic metastases, myeloma, and refractory osteoporotic compression fractures.

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Conclusions:

  • Perutaneous vertebroplasty is an established treatment for various vertebral conditions.
  • Ongoing research focuses on new devices and expanding applications.