title: Cavitational kyphoplasty: a new technique for reducing the rates of cement extravasation through targeted low-pressure cement injection.
abstract: Previous studies have demonstrated lower rates of cement extravasation when comparing balloon kyphoplasty with vertebroplasty, an effect attributed to the low-pressure injection. However, in patients with isolated endplate fractures, balloon kyphoplasty may lead to further endplate damage and increased risks of intradiscal extravasation.
  
  
  
  The author provides a stepwise description of a new technique called cavitational kyphoplasty that allows targeted low-pressure cement injection without the necessity of balloon inflation.
  
  
  
  The new technique of cavitational kyphoplasty has been shown to be specially useful in patients with isolated endplate fractures without significant loss of the vertebral body height.
authors.affiliation: Neurosurgery & Spine Specialists, Eastern Maine Medical Center, 417 State St., Bangor, ME, 04401, USA. tobiasmattei@gmail.com.
authors.forename: Tobias A
authors.initials: TA
authors.lastname: Mattei
mesh_terms: D001843:Bone Cements / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000517:prevention & control*; D050815:Fractures, Compression / Q000601:surgery; D006801:Humans; D007267:Injections; D058498:Kyphoplasty / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D016103:Spinal Fractures / Q000601:surgery
chemical_list: D001843:Bone Cements
keywords: Cement augmentation; Cement extravasation; Compression fractures; Endplate fractures; Kyphoplasty; Osteoporotic vertebral fractures; Vertebroplasty