Vertebroplasty, kyphoplasty and sacroplasty
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.
Status: Decision completed
Why is VKS being reviewed?
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, 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
|Update literature (2020)|
|Update literature supplement (2017)|
|Update literature (2016)|
* Due to file size, Appendix 2 is only available by request
Assessment timeline (2010)
- 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