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Introduction

 Fig. 1: Percutaneous Cementoplasty (PC, vertebral packing, vertebroplasty).

  • Percutaneous Cementoplasty (PC, vertebral packing, vertebroplasty) with acrylic cement (polymethylmethacrylate: PMMA) is a procedure aimed at preventing vertebral body collapse and pain in patients with pathological vertebral bodies. Percutaneous vertebroplasty is used increasingly in the treatment of osteoporotic fractures and malignant disease of the thoracic, lumbar, and, cervical vertebral bodies.
  • Percutaneous vertebroplasty is usually performed under fluoroscopy guidance. A combination of CT and fluoroscopy  provides a safer and easier guidance especially in difficult cases.  However, this type of equipment is not commonly available in all departments.
  • Percutaneous Cementoplasty technique with fluoroscopic guidance is described with an interactive step by step hypertext-based teaching file. The technique of vertebroplasty is reported for cervical, thoracic, and lumbar levels. Performing this procedure requires advanced imaging skills and special training.