[Limits of vertebroplasty]

A vertebroplasty was carried out on an 86 year old patient with a lumbar fracture involving impression of the cranial and caudal endplate by moderate osteoporosis. The vertebral column tilted with gibbous development and subluxation. As correcting treatment, corporectomy and spacer implantation using a dorsolateral approach and spondylodesis were necessary. This case draws attention to the mechanical conditions needed for an indication for vertebroplasty. The indication for vertebroplasty should be critical for patients with central impression of the vertebral body.