Percutaneous Vertebroplasty and Kyphoplasty

Since the ?rst edition of this book was published in 2002, there have been many advances in our knowledge of percutaneous vertoplasty (PV), particularly about how to perform the procedure more safely and how to approach more complex case situations. Additionally, mate- als that were initially used "off label" or that simply were not FDA approved have completed their governmental review and have received FDA approval. This has increased the legitimacy of the p- cedure from the legal and reimbursement perspective. Controversy over height restoration and device selection has become a progressively bigger issue over time. Kyphoplasty (balloon assisted vertebroplasty) has received tremendous emphasis. This book c- pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. We also look at other methods that pot- tially can be used for height restoration. New procedures that deal with bone augmentation in other anatomic regions have evolved (i.e., sacroplasty) and are discussed. As this re- lution in image-guided percutaneous bone augmentation has dev- oped, multiple medical specialties have embraced these procedures in their training programs for both residents and practicing physicians.

This new edition of the well-regarded original has been thoroughly revised by Drs. John M. Mathis, Hervé Deramond, and Stephen M. Belkoff to reflect recent advances in percutaneous vertebroplasty and kyphoplasty. Obsolete sections have been judiciously replaced with cutting-edge material, such as an in-depth look at the latest bone cements and devices. Chapters outline spine anatomy, medical management, and patient selection. The addition of practical and challenging case studies furthers the focus of the previous edition by bridging the gap between theory and practice for spine interventionalists, radiologists, neuroradiologists, orthopedic surgeons, and neurosurgeons. The text is enhanced by a wealth of illustrations. Featured in the Second Edition: * New data on alternate routes for therapy, sacroplasty, and treating tumors * New treatment techniques * Updated examination of biomechanics * New material on complications * New figures and color images * Inclusion of vertebroplasty and kyphoplasty cases * Expanded presentation of ACR and SIR care standards

Basic Science and Techniques.- History and Early Development of Percutaneous Vertebroplasty.- Spine Anatomy.- The Medical Management of Bone Health and Osteoporosis.- Surgical Options for Vertebral Compression Fractures.- Patient Evaluation and Selection.- Biomechanical Considerations.- Percutaneous Vertebroplasty: Procedure Technique.- Balloon Kyphoplasty and Lordoplasty.- Vertebroplasty Versus Kyphoplasty: A Comparison and Contrast.- Tumors.- Extreme Vertebroplasty: Techniques for Treating Difficult Lesions.- Sacroplasty.- Complications Associated with Vertebroplasty and Kyphoplasty.- Standards for the Performance of Percutaneous Vertebroplasty: American College of Radiology and Society of Interventional Radiology Guidelines.- Case Studies.- Single-Level Vertebroplasty and Biopsy.- Multilevel Vertebroplasty.- Vertebra with a Cleft or Cavity.- The Mobile Vertebra: Height Restoration.- Extreme Vertebral Collapse.- Anterior Cervical Approach.- Vertebral Refracture After Percutaneous Vertebroplasty.- Percutaneous Sacroplasty.- Percutaneous Pelvic Augmentation: Supra-Acetabular Region.- Kyphoplasty in Osteoporotic Compression Fractures.- Femoral Neck Augmentation.