J Korean Soc Spine Surg.  2015 Dec;22(4):192-196. 10.4184/jkss.2015.22.4.192.

Percutaneous Vertebral Augmentation for the Treatment of Osteoporotic Spinal Fractures

• Kim YW
• Ha JM
• Jung KH

• KMID: 2150549
• DOI: http://doi.org/10.4184/jkss.2015.22.4.192

Abstract

STUDY DESIGN: Review of the literature.
OBJECTIVES
To present updated information on percutaneous vertebral augmentation (PVA) for osteoporotic spinal fractures (OSFs). SUMMARY OF LITERATURE REVIEW: Vertebroplasty and kyphoplasty have been used to treat osteoporotic spinal fractures for many years. A recent meta-analysis provides strong evidence in favor of cement augmentation in the treatment of symptomatic vertebral compression fractures.
MATERIALS AND METHODS
Review of the relevant literature.
RESULTS
A meta-analysis showed greater pain relief, functional recovery, and improvement in quality of life with cement augmentation compared with control subjects.
CONCLUSIONS
Percutaneous vertebral augmentation of osteoporotic spinal fractures results in shorter hospital stays, reduced incidence of complications, and more rapid return of functional independence.

Keyword

Osteoporotic spinal fractures; Surgical treatment; Percutaneous vertebral augmentation

MeSH Terms

Fractures, Compression
Incidence
Kyphoplasty
Length of Stay
Quality of Life
Spinal Fractures*
Vertebroplasty

Figure

• 

  Fig. 1. A 68-year-old woman experienced multiple osteoporotic spinal fractures after a slip in the bathroom (A). After conservative management for 1 month, she still had severe low back pain. A fat-suppressed T2-weighted midsagittal magnetic resonance image shows high signal intensities (arrows) at T11, L1, L2, and L3, which indicates acute fracture (B). Kyphoplasty was performed at L1 and vertebroplasty at T11, L2, and L3 (C). At the 8-month followup, the spinal alignment was good, without kyphotic deformity or vertebral body collapse (D).

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