Percutaneous vertebroplasty with calcium phosphate cement for osteoporotic vertebral fractures: Indication, surgical techniques, clinical results, and complications

Abstract

Vertebroplasty and kyphoplasty have become common for the treatment of osteoporotic vertebral fractures (OVC). Percutaneous vertebroplasty using calcium phosphate cement (CPC) has been used for the treatment of OVC with excellent clinical results. CPC is injectable and self-setting, but it is radiopaque, non-exothermic, bioactive, osteoconductive, and slowly biodegradable. Following repositioning and curettage of the pathological soft tissues, vertebroplasty using CPC was performed in patients with osteoporotic burst fracture and pseudarthrosis. In situ vertebroplasty was performed in patients with osteoporotic compression fractures. After a minimum follow-up duration of two years, vertebroplasty using CPC gave a satisfactory outcome in patients with OVC.