II. Indications: Pain refractory to conservative management
- Vertebral Compression Fracture >2 weeks old
- Vertebral involvement of Multiple Myeloma
- Metastases to Vertebrae
- Vertebral Hemangiomas
- Vertebral osteonecrosis
III. Contraindications
- Absolute contraindication
- Untreated Coagulopathy
- Vertebral Osteomyelitis
- Relative contraindication
IV. Technique
- Usually performed by Interventional Radiology
- Patient under moderate Conscious Sedation
- Positioned prone for the procedure
- Needle (11 gauge) advanced under fluoroscopy
- Needle passed via each of the two pedicles
- Acrylic cement injected into affected Vertebral body
- Polymethylmethacrylate (PMMA)
- Radiopaque material used also (e.g. barium)
- Total volume injected: Up to 12 cm3
- Patient supine one hour for cement to harden
- Patient observed for two hours after procedure
- Pain relief may be delayed up to 72 hours
V. Modifications: Kyphoplasty (studies in progress)
VI. Complications (1-3% in Osteoporosis, 7-10% in neoplasm)
- Initial pain exacerbation
- Fever
- Bleeding
- Rib or pedicle Fracture
- Extruded cement with resulting nerve compression
- Cement Pulmonary Embolism
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Definition (MSH) | Procedures to repair or stabilize vertebral fractures, especially compression fractures accomplished by injecting BONE CEMENTS into the fractured VERTEBRAE. |
Definition (NCI) | A nonsurgical method for the repair of vertebral fractures and compression due to osteoporosis in which a glue-like material is inserted into the center of the collapsed spinal vertebra in order to stabilize and strengthen the crushed bone. |
Definition (NCI_NCI-GLOSS) | A procedure used to repair a bone in the spine that has a break caused by cancer, osteoporosis (a decrease in bone mass and density), or trauma. Bone cement is injected into the broken bone to make it stronger. |
Concepts | Therapeutic or Preventive Procedure (T061) |
MSH | D054854 |
SnomedCT | 401226007 |
CPT | 1013895 |
English | vertebroplasty, Vertebroplasty, vertebroplasty procedure, Vertebroplasty Procedures, Vertebroplasty (procedure) |
Portuguese | Vertebroplastia |
Finnish | Vertebroplastia |
French | Vertébroplastie, VTP (VertébroPlastie), Spondyloplastie |
German | Vertebroplastie, Wirbelsaeulenplastik |
Italian | Vertebroplastica |
Russian | ВЕРТЕБРОПЛАСТИКА, VERTEBROPLASTIKA |
Japanese | ツイタイケイセイジュツ, 椎体形成術, バルーン椎体形成術, 椎体形成術-バルーン, 後弯形成術 |
Czech | Vertebroplastika, vertebroplastika |
Spanish | Vertebroplastia, vertebroplastia (procedimiento), vertebroplastia |
Swedish | Vertebroplastik |
Polish | Plastyka kręgów, Wertebroplastyka balonowa, Wertebroplastyka |
Hungarian | Vertebroplastica |
Norwegian | Not Translated[Vertebroplasty] |
Dutch | vertebroplastiek |
Ontology: Kyphoplasty (C1455863)
Definition (NCI) | A procedure with the intent of expanding a collapsed vertebra. A surgical instrument is introduced into the spine with a balloon that is inflated to expand the bone. Once this instrument is withdrawn, the space created is then filled with bone cement mixture. |
Definition (MSH) | Procedures to restore vertebrae to their original shape following vertebral compression fractures by inflating a balloon inserted into the vertebrae, followed by removal of the balloon and injection of BONE CEMENTS to fill the cavity. |
Concepts | Therapeutic or Preventive Procedure (T061) |
MSH | D058498 |
Dutch | kyfoplastiek |
German | Kyphoplastik, Kyphoplastie, Ballon-Kyphoplastie |
Italian | Chifoplastica, Cifoplastica, Vertebroplastica con palloncino |
Portuguese | Quifoplastia, Cifoplastia |
English | kyphoplasty, Kyphoplasty, Balloon Vertebroplasty, Vertebroplasty, Balloon |
Japanese | 椎骨形成術, ツイコツケイセイジュツ |
Czech | Kyfoplastika, kyfoplastika |
French | Spondyloplastie par ballonnet, Cyphoplastie par ballonnet, Vertébroplastie par ballonnet, Kyphoplastie, Spondyloplastie avec expansion, Cyphoplastie |
Spanish | Cifoplastia |
Russian | ВЕРТЕБРОПЛАСТИКА БАЛЛОННАЯ, KIFOPLASTIKA, КИФОПЛАСТИКА, VERTEBROPLASTIKA BALLONNAIA |
Hungarian | Kyphoplastica |
Polish | Kifoplastyka |
Norwegian | Ballongvertebroplastikk, Kyfoplastikk |