Abstract

Osteoporotic and metastatic fractures of vertebral colon are increased day by day due to expansion of life duration and good results of cancer treatment. Open surgical procedures including decompression and stabilization carries high morbidity and mortality rates because of patient's age and other systemic problems. The fundimental indications for percutaneous vertebroplasty are persistently painful compression fractures (typically osteoporotic related) despite correct medikal (non surgical) treatment and benign or malignant osteolitic neoplasms( aggressive hemangioma, metastasis and myeloma). The absolute contraindications to percutaneous vertebroplasty for either osteoporotic or neoplastic contions are infection (osteomyelitis and discitis), uncorrectable coagulopathy and allergy to any component required for procedure. Surgical procedure is perform in operation room, under local anesthesia and with the assistance of c-arm. One side vertebroplasty is enough biyomechanically. Post-procedure care includes keeping the patient in bed for at least one hour and discharging after control CT-scan. Major complications are uncommon. The most common complication is radikular pain caused by migration of cement into the epidural venous plexus. İntradiscal and paravertebral leaks of cement have no clinical importance.Paraliysis is seen rarely. Vertebroplasty is a good alternative for the treatment of this pathology versus open procedures because of systemical problems of the patients, complications of general anesthesia and surgery, osteoporosis related fusion problems, long-term hospitalization, and cost affectivity.