Interventional Procedures in Metabolic Bone Diseases

Metabolic bone diseases are diverse disorders marked by impaired bone turnover or mineralization, causing fragility and fractures. Interventional radiology (IR) plays a key role by offering minimally invasive treatments for pain relief, stabilization, and early mobilization. Vertebroplasty is effective for painful osteoporotic vertebral fractures without deformity, while kyphoplasty or expandable devices suit cases with collapse or kyphosis. In Kümmell's disease, targeted cement augmentation provides rapid improvement. Sacral insufficiency fractures can be safely treated with computed tomography-guided sacroplasty, enabling early ambulation. Complex sacral fractures may require combined fixation and sacroplasty. Overall, IR enhances outcomes and reduces complications in frail patients.