PVP AND BKP STILL THE SAFEST AND EFFECTIVE METHOD OF TREATMENT OF OCFS FOR SHORT AND LONG TERM MANAGEMENT-A REVIEW.

PVP and BKP are the vertebral augmentation procedures which are being used during the last 2 decades for the treatment of osteoporotic vertebral fractures and tumor associated fractures. Osteoporosis is one of the leading causes of mortality and morbidity in old age leading to the deterioration of physical and mental function. About Two hundred million women are affected by osteoporosis globally. The bone may be weakened to such a degree that a break may occur with minor stress or spontaneously without showing typical symptoms. The long duration of conservative therapy or open surgery method would not be suitable for older patient with various co-morbidity. After the invention of treatment of PVP and BKP, it brought a turning point in the history of treatment of OCFs. PVP and BKP were limited to VCFs and haemangiomas before, but the indication of these treatments have expanded to include metastatic vertebral cancer and multiple myeloma. Even some contraindication like vertebral plana, severe vertebral fracture, spinal canal compromise due to repulsed fragments were considered as a treatment of choice .PVP and BKP treatment showed immediate postoperative pain relief and improvement in quality of life .PVP takes less duration of time during procedure and is cost effective with BKP being superior in restoration of vertebral height and decrease in cement leakage. Various new methods have gained popularity in recent years but due to the lack of various adverse effects as proven in different study and high treatment cost still make them doubtful. The review consist of brief history of the development of PVP and BKP techniques, their clinical outcome, little briefing of newer ongoing methods and future research about the safety and efficacy of the procedures in treatment of OCFs.