Vertebroplasty, kyphoplasty and sacroplasty
Vertebroplasty, kyphoplasty and sacroplasty, (VKS) was first reviewed by the HTCC in 2011.
In early 2017, a review of VKS medical literature was performed to determine if evidence published since the 2011 review was likely to change the original decision.
Vertebroplasty involves injection of bone cement into a partially collapsed vertebral body, while Kyphoplasty involves expansion of the partially collapsed vertebral body with an inflatable bone tamp, in an effort to relieve pain and provide stability. Sacroplasty involves surgical treatment that attempts to repair sacral insufficiency fractures using bone cement.
Issues: These surgical procedures are less invasive than other spinal surgical procedures, but more invasive than conservative medical therapy. Significant questions remain about the safety, efficacy and effectiveness (particularly long term and appropriate selection and therapy phase), and the cost effectiveness of vertebroplasty, kyphoplasty and sacroplasty.
Primary criteria ranking
- Safety = Medium
- Efficacy = Medium
- Cost = Medium
Document (2017 Literature search)
Documents (2010 assessment)
- Final key questions
- Draft report: Peer review, public comment & response
- Final evidence report
- Final evidence report: Appendices*
- Final findings and decision
* Due to file size, Appendix 2 is only available by request.
Draft report published: October 7, 2010
Public comment period: October 7, to October 22, 2010
Final report published: November 5, 2010
HTCC public meeting: December 10, 2010