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Vertebroplasty

Vertebroplasty is a minimally invasive, image-guided therapy used to relieve pain from a vertebral body fracture through percutaneous injection of a cement

Indication
  
Percutaneous vertebroplasty is indicated for 
painful osteoporotic complicated by vertebral fracture
neoplastic vertebral compression fractures refractory to medical therapy as palliative treatment that typically provides immediate analgesia
Vertebral hemangioma in severe focal spinal pain with radiologically unaggressive vertebral (body) hemangioma.

Contraindications
  
Absolute contraindication
-	Asymptomatic fracture 
-	Active osteomyelitis of the target vertebra 
-	Uncorrectable coagulopathy 
- Allergy to vertebroplasty cement or opacifying agent
Relative contraindications
- Significant central canal narrowing from retropulsion of bony fragment or
  epidural tumor 
- Ongoing systemic infection 
- Myelopathy or radiculopathy from fracture level