ABSTRACT

Radiologically guided vertebral and pelvic augmentation via vertebroplasty and osteoplasty are safe and effective in the palliation of bone metastases. These procedures can enhance conventional treatments by providing rapid pain relief through mechanical stabilization of pathological fractures, and they can be used in conjunction with standard treatments such as external beam radiotherapy and radiofrequency ablation. These techniques are readily adopted into clinical practice and have a low risk of major complications. As a minimally invasive treatment, it does not require general anesthesia, and pain relief is often immediate (within 24–48 hours); this makes it a welcome addition to the treatment algorithm for patients with painful bone metastases.