Percutaneous Augmentation of Vertebral Compression Fractures

More than 700,000 osteoporotic vertebral compression fractures occur annually and can have an impact on the health and life of a patient similar to that of a hip fracture. Percutaneous vertebral augmentation with vertebroplasty and kyphoplasty can be performed to treat painful compression fractures refractory to nonoperative care. Both procedures have been reported to result in pain reduction and functional improvement for patients with compression fractures. Cement extrusion with neurologic compromise and subsequent fracture can complicate treatment. Although evidence is currently mixed, vertebral augmentation should be considered for patients with severe pain and functional impairment caused by a compression fracture.