Treating osteoporotic and neoplastic vertebral compression fractures with vertebroplasty and kyphoplasty. J Palliat Med 2005 Oct;8(5):931-8
Date
10/22/2005Pubmed ID
16238506DOI
10.1089/jpm.2005.8.931Scopus ID
2-s2.0-27644564233 (requires institutional sign-in at Scopus site) 17 CitationsAbstract
BACKGROUND: Compression fractures are common in patients with osteoporosis and cancer. In particular, vertebral compression fractures are crippling, and pose an additional risk of cord compression. Although a number of nonmedical options such as bracing and exercise programs may help these patients, the combination of constant, severe pain and spinal instability was until recently almost invariably synonymous with painful gradual deterioration and a poor quality of life. Vertebroplasty, and more recently kyphoplasty, are minimally invasive procedures that aim at limiting or reversing painful collapse of the vertebrae, while providing stability to the treated segment of the spine. As these new options are highly effective and involve minimal risk, it is important that physicians be familiar with them.
OBJECTIVE: This paper reviews the demographics of vertebral compression fractures, both osteoporotic and neoplastic, the technical aspects of vertebroplasty and kyphoplasty, and current results and outcomes.
RESULTS: Pain relief rates in excess of 90% have been reported with both vertebroplasty and kyphoplasty in patients with vertebral compression fractures. Procedural complication rates should be very low, in the 1%-2% range at most with proper technique.
CONCLUSIONS: Until the advent of vertebroplasty, almost no effective therapeutic option could be offered to patients suffering from neoplastic or osteoporotic vertebral compression fractures, which are relatively common and often crippling. The technical feasibility of these procedures is high, the risk low, and the effectiveness high. Therefore, it is important that physicians consider vertebroplasty and kyphoplasty as viable and strong options.
Author List
Hacein-Bey L, Baisden JL, Lemke DM, Wong SJ, Ulmer JL, Cusick JFMESH terms used to index this publication - Major topics in bold
Fractures, CompressionHumans
Minimally Invasive Surgical Procedures
Neoplasms
Orthopedic Procedures
Osteoporosis
Postoperative Complications
Spinal Fractures