Vertebroplasty and kyphoplasty are procedures for selected painful fractures of a spinal bone. Occasionally expandable stents are also used to help restore the height of a collapsed vertebra.
When might they be considered?
Many vertebral compression fractures improve without surgery. A procedure may be discussed when pain remains severe and imaging suggests that stabilising the fractured bone could help. Treating the underlying cause, such as osteoporosis, remains important.
What happens?
In vertebroplasty, bone cement is placed into the fractured vertebra to stabilise it. In kyphoplasty, a small balloon is inflated first to create a space; cement is then placed. A stent may be used in some cases. The procedure is guided by imaging and is usually performed under general anaesthetic.
What are the alternatives and risks?
Alternatives include pain relief, gradual activity, a brace in selected cases and treatment to strengthen bones. Risks include infection, bleeding, cement leakage, injury to nerves or nearby structures, persistent pain and another fracture later. The balance of benefits and risks depends on the fracture and your health.
Read about vertebral compression fractures →
Detailed patient leaflet
Read Professor Bateman’s information leaflet before your procedure and bring any questions to your consultation.
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