Vertebroplasty Kyphoplasty (Subscribe)  

Most of patients experiencing an osteoporotic vertebral compression fracture remain asymptomatic or minimally symptomatic; however, a large number of these patients do experience significant pain resulting in decreased quality of life and disability. Conventional medical treatment for these patients includes pain medication, activity limitation, physical therapy, and possibly, bracing. Vertebroplasty...

Vertebroplasty and kyphoplasty are radiologic procedures for the treatment of the intense pain caused by vertebral compression fracture in patients whose pain has been refractory to medical management or bracing. Vertebroplasty and kyphoplasty involve the US Food and Drug Administration (FDA) approved intraosseous injection of acrylic cement under local anesthesia...

Physicians with HealthEast Care System will perform an innovative spine procedure live on the Internet. The procedure at St. Joseph's Hospital in St. Paul, Minnesota will take place on April 19 at 4:00 pm Central Time.

This live webcast will involve physicians from HealthEast Spine Care and HealthEast Osteoporosis Care....

Long-Term Data Confirm Benefit of Vertebroplasty for Back Pain Relief After Osteoporotic Vertebral Collapse
Susan Jeffrey March 31, 2008 — A new analysis of the largest and longest case series to date suggests that percutaneous vertebroplasty is safe and effective for the treatment of vertebral collapse in patients with osteoporosis. Patients, some in...

In this multi-center trial, we randomly assigned patients with 1-3 painful, osteoporotic vertebral compression fractures to vertebroplasty or to a simulated vertebroplasty without cement.
Conclusions Improvement in osteoporotic compression fracture pain and pain-related disability was similar in patients treated with vertebroplasty and patients treated with simulated vertebroplasty without cement.
A randomized trial of...

Report on Kallmes DF, Comstock BA, Heagerty PJ, et al N Engl J Med. 2009;361:569-579
The study authors concluded that pain and pain-related disability were similar between those treated with vertebroplasty and sham procedure (placebo).

We performed a multicenter, randomized, double-blind, placebo-controlled trial in which participants with one or two painful osteoporotic vertebral fractures that were of less than 12 months' duration and unhealed, as confirmed by magnetic resonance imaging, were randomly assigned to undergo vertebroplasty or a sham procedure.
Conclusions We found no beneficial effect of...

Report of an article in BMC Palliative Care

Spinal fractures are a common source of morbidity in cancer patients. Balloon Kyphoplasty (BKP) is a minimally invasive procedure designed to stabilize fractures and correct vertebral deformities. We performed a meta-analysis to determine the efficacy and safety of BKP for spinal fractures in cancer patients.
Balloon kyphoplasty in malignant spinal fractures:...

Vertebral compression fractures (VCF) from osteoporosis are a common cause of morbidity and mortality in the United States.[1] According to the National Osteoporosis Foundation, more than a half million vertebral fractures were attributed to osteoporosis in 2005.[2] Percutaneous vertebroplasty, a procedure that involves the injection of polymethylmethacrylate cement into a...

AAOS Issues New Treatment Guidelines for Symptomatic Osteoporotic Spinal Compression
October 4, 2010 — The American Academy of Orthopaedic Surgeons (AAOS) Board of Directors approved and issued a clinical practice guideline for treatment of symptomatic osteoporotic spinal compression. The new practice parameters, which are published in the September 27 issue of...

The VERTOS IV study is a methodologically sound RCT designed to assess pain relief after PV compared to a sham intervention in patients with an acute osteoporotic VCF selected on strict inclusion criteria. Trial registration This study is registered at ClinicalTrials.gov., NCT01200277.
Study protocol A randomised sham controlled trial of vertebroplasty for...

Conclusions The results indicated that, for bone cement confined within the vertebra, curing temperatures do not directly cause thermal injury to the nearby soft tissue. If bone cement leaks into the spinal canal, the exothermic reaction at the posterior cortex might result in thermal injury to the neural tissue.
Cement leakage causes...

Conclusion Pyogenic spondylitis is an extremely rare complication after kyphoplasty. When these patients develop recurrent back pain postoperatively, the diagnosis of pyogenic spondylitis must be considered.
Primary pyogenic spondylitis following kyphoplasty: a case report Markus D Schofer , Stefan Lakemeier , Christian D Peterlein , Thomas J Heyse and Markus Quante Journal...