Percutaneous Vertebral Augmentation for the Treatment of Osteoporotic Spinal Fractures

Young-Woo Kim; Jong-Mun Ha; Koo-Hyun Jung

doi:10.4184/jkss.2015.22.4.192

Journal List > J Korean Soc Spine Surg > v.22(4) > 1076070

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Kim, Ha, and Jung: Percutaneous Vertebral Augmentation for the Treatment of Osteoporotic Spinal Fractures

Review Article

Journal of Korean Spine Surg 2015;22(4):192-196.

Published online: 21 December 2015

DOI: https://doi.org/10.4184/jkss.2015.22.4.192

Percutaneous Vertebral Augmentation for the Treatment of Osteoporotic Spinal Fractures

Young-Woo Kim, M.D., Ph.D., Jong-Mun Ha, M.D., Koo-Hyun Jung, M.D.

Department of Orthopedic Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Gyeonggi-Do, Korea

Corresponding author: Young-Woo Kim, M.D., Ph.D. Department of Orthopedic Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Gyeonggi-Do, Korea 40, Sukwoo-Dong, Hwaseong-Si, Gyeonggi-Do, 445-170, Korea TEL: +82-31-8086-2410, FAX: +82-31-8086-2438 E-mail: ywkimmd@gmail.com

Received 18 November 20151 December 2015 Accepted 21 December 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Osteoporotic spinal fractures, Surgical treatment, Percutaneous vertebral augmentation

REFERENCES

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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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