• Majid Khan and Sergiy V Kushchayev.
• Division of Neuroradiology, Russell H. Morgan Department of Radiology, Johns Hopkins University Hospital, 7220, Bloomberg Building, 1800 Orleans Street, Baltimore, MD 21287, USA. Electronic address: mkhan9@jhmi.edu.
• Neuroimaging Clin. N. Am. 2019 Nov 1; 29 (4): 495-513.

AbstractOsteoporotic compression fractures of the vertebral body can result in pain and long-term morbidity, including spinal deformity, with increased risk of mortality resulting from associated complications. Conservative management includes opioids and other analgesics, bed rest, and a back brace. For patients with severe and disabling pain, vertebral augmentation (vertebroplasty and kyphoplasty) is often considered, with these procedures endorsed by multiple professional societies, and provides immediate structural support, and stabilizes and reinforces the weakened bone structure. The purpose of this article is to review the vertebral biomechanics, indications and contraindications, and techniques of performing successful vertebral augmentation.Copyright © 2019 Elsevier Inc. All rights reserved.

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