Vertebroplasty and kyphoplasty are minimally invasive procedures that stabilize painful vertebral compression fractures by injecting bone cement into the collapsed vertebra.
Indicated for patients with painful vertebral compression fractures from osteoporosis or cancer that have not responded to pain management and bracing after several weeks.
Performed under sedation or light anesthesia using fluoroscopic guidance, typically taking 30 to 60 minutes. A needle is passed into the fractured vertebra and cement is injected. Kyphoplasty also uses a balloon to restore vertebral height before cementing.
Risks include cement leakage, adjacent level fracture, infection, and neurologic injury from cement extravasation. Serious complications are uncommon.
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