ISSN 2380-2995 (Online)
ISSN 2380-2987 (Print)


Ronald W. Lindsey, MD
Zbigniew Gugala, MD, PhD

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Controversial Issues in Cementoplasty

Kalliopi Alpantaki, MD[1]; Michael Dohm, MD[2]; Georgios Vastardis, MD[3]; Alexander G. Hadjipavlou, MD[4]

[1] Department of Orthopaedic Surgery and Traumatology, University of Crete; Herakleion, Crete, Greece
[2] Department of Orthopaedic Surgery, University of Arizona; Tucson, AZ, USA
[3] Iasso General Hospital; Athens, Greece
[4] Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch; Galveston, TX, USA

Corresponding Author:
Alexander G. Hadjipavlou, MD
Department of Orthopaedic Surgery & Rehabilitation
University of Texas Medical Branch
301 University Blvd
Galveston, TX 77555

DOI: 10.18600/toj.020203


Vertebroplasty and kyphoplasty are effective in controlling pain and improving daily activities with sustained results. Kyphoplasty improves vertebral body height and kyphosis. These benefits and demonstrable improvement in quality of life in elderly patients support the prompt cementoplasty management of osteoporotic vertebral compression fractures (OVCFs). The magnitude of pain reduction is not always dependent upon the interval between fracture and surgery. Evidence of nonhealing on MRI and the degree of persistent pain should be determinative factors in patient selection. This paper reviews advantages and disadvantages of kyphoplasty and vertebroplasty and identifies major clinical issues associated with these treatment options reported in the literature.

Level of Evidence: V; Descriptive review/Expert opinions.

Keywords: Vertebroplasty; Kyphoplasty; Complications; Cost effectiveness.