In which conditions are percutaneous vertebroplasty and kyphoplasty contraindicated?
Percutaneous vertebroplasty is a palliative therapy that can be used to treat osteoporotic vertebral compression fracture. Vertebroplasty is contraindicated in: • Infections such as osteomyelitis, sepsis or discitis • Presence of untreated coagulopathy • Any chronic systemic infection • Hypersensitivity to polymethylmethacrylate (PMMA) or acrylic cement • A posterior cortical defect that may arise from acrylic cement passing through the fracture into the spinal canal • Allergy to bone cement Kyphoplasty is contraindicated in conditions such as: • Treatment of degenerative disk or joint diseases • Treatment of fractures secondary to infections, solid tumors or vascular lesions • Unmanageable bleeding disorders • Allergy to bone cement • Asymptomatic vertebral body fractures