Published online Jun 28, 2014. doi: 10.4329/wjr.v6.i6.329
Revised: February 18, 2014
Accepted: May 8, 2014
Published online: June 28, 2014
The aim of this review is to compare the effectiveness of percutaneous vertebroplasty and kyphoplasty to treat pain and improve functional outcome from vertebral fractures secondary to osteoporosis and tumor conditions. In 2009, two open randomized controlled trials published in the New England Journal of Medicine questioned the value of vertebroplasty in treating vertebral compression fractures. Nevertheless, the practice of physicians treating these conditions has barely changed. The objective of this review is to try to clarify the most important issues, based on our own experience and the reported evidence about both techniques, and to guide towards the most appropriate choice of treatment of vertebral fractures, although many questions still remain unanswered.
Core tip: This extended review of current literature on vertebral augmentation is supported by our wide experience in the treatment of vertebral fractures. The most innovative topics are the possibility of treating multilevel vertebral fractures in the same session and the failure of vertebral augmentation due to mechanical disruption of the cement. This is intended to present a thorough review to physicians interested in osteoporosis and vertebral fractures.