Introduction: Percutaneous kyphoplasty (PKP) aims to restore vertebral shape and kyphotic spine angulation, reduce
pain, and allow the patient early mobilization. Compared with percutaneous vertebroplasty (PV), PKP has been reported
to reduce cement leakage, increase short-term pain relief, and improve kyphotic angle restoration. In addition, PKP has
been shown to be a safe and effective method for treating non-responsive pain in osteoporotic vertebral compression
fractures, and to allow shorter hospitalizations. This paper aims to review the current state of PKP, looking at the procedure
itself, its use and complications, and how it compares with PV.
Surgical procedure: Precise placement of the inflatable balloons is required, and multiple processes must be completed
before injecting the cement. A working cannula is inserted through the posterior wall of the vertebral body using a trans
or parapedicular approach. Then, the balloons are inserted and inflated. Finally, the balloons are gradually removed, and
polymethylmethacrylate is delivered through a blunt cannula. PKP has the same surgical indications and complications
as PV. The main contraindications to PKP are unmanageable bleeding disorders, asymptomatic vertebral body fracture,
allergy to bone cement, tumor mass with involvement of the spinal canal, unstable fractures or complete vertebral collapse,
and neurological symptoms.
Conclusion: PKP and PV are both effective treatments for individuals with painful, acute compression fractures that have
failed to respond to conventional treatment.
KEY WORDS: Spine, vertebroplasty, kyphoplasty, vertebral fracture, percutaneous, back pain.
