1.1 The evidence on percutaneous insertion of craniocaudal expandable implants for vertebral compression fracture raises no major safety concerns. Evidence on its efficacy is adequate. Therefore, this procedure may be used provided that standard arrangements are in place for clinical governance, consent and audit.
1.2 Patient selection and treatment should be done by a specialist multidisciplinary team that includes a radiologist and a spinal surgeon.
1.3 The procedure should be limited to patients whose pain is refractory to more conservative treatment.