Position Statement on Percutaneous Vertebral Augmentation
Sponsor: Society of Interventional Radiology
Publisher: Journal of Vascular and Interventional Radiology, 2013
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*The consensus statement was reviewed by the CNS/AANS Joint Spine and Peripheral Nerve Section and subsequently endorsed by the CNS/AANS.
It is the position of the Societies that percutaneous vertebral augmentation (PVA) with the use of vertebroplasty or kyphoplasty is a safe, efficacious, and durable procedure in appropriate patients with symptomatic osteoporotic and neoplastic fractures, when performed in a manner in accordance with published standards. These procedures are offered only when nonoperative medical therapy has not provided adequate pain relief or pain is significantly altering the patient’s quality of life. Regarding vertebroplasty, multiple case series and retrospective and prospective nonrandomized studies and, more recently, randomized controlled trials have shown statistically significant improvement in pain and function, particularly ambulation.