What are the indications and contraindications for vertebroplasty?
Indications: Painful Fractures • Osteoporotic fracture refractory to medical therapy • Benign or malignant tumor: hemangioma, multiple myeloma, metastatic lesion • Osteonecrosis Unstable Fractures • Unstable fractures with movement at wedge deformity • Multiple thoracic compression deformities with decreased thoracic cage threatens pulmonary compromise, impacts appetite, GI function, balance • Possible structural reinforcement prior to surgical stabilization Patient Selection • Focused pain in region of fracture • Fracture tender to palpation • Absence of radicular pain • Subacute or acute fractures less than one year old yield greatest results (less than 4-6 months ideal); older fractures can also be treated • Fracture unresponsive to medical therapy (analgesics, bedrest, immobilization) • Fracture with activity on bone scan or edema on MRI, if in combination with other selection criteria • Pain from fracture negatively impacting mobility and ADLs Contraindications: • Asymptomatic sta
Indications: Painful Fractures • Osteoporotic fracture refractory to medical therapy • Benign or malignant tumor: hemangioma, multiple myeloma, metastatic lesion • Osteonecrosis Unstable Fractures • Unstable fractures with movement at wedge deformity • Multiple thoracic compression deformities with decreased thoracic cage threatens pulmonary compromise, impacts appetite, GI function, balance • Possible structural reinforcement prior to surgical stabilization Patient Selection • Focused pain in region of fracture • Fracture tender to palpation • Absence of radicular pain • Subacute or acute fractures less than one year old yield greatest results (less than 4-6 months ideal); older fractures can also be treated • Fracture unresponsive to medical therapy (analgesics, bedrest, immobilization) • Fracture with activity on bone scan or edema on MRI, if in combination with other selection criteria • Pain from fracture negatively impacting mobility and ADLs Contraindications: • Asymptomatic sta
