VertebroplastyOsteoporosis affects our spine or the back bone with aging, continuous wear and tear, deficiency of calcium and vitamin. The spine is weakened and made vulnerable to fractures over a period of time due to this condition. Osteoporosis causes most of the spine fractures in old age and warrant a surgical intervention in many of such patients suffering from this condition. In spite of non-operative measures like bed rest, hospitalization, pain killer medications or bracing when a severe pain still persists a surgical intervention may be required.
Vertebral FractureVertebral fractures, that are caused spontaneously or due to minor trauma may also be resulted by severe Osteoporosis. Immobilization, analgesic drugs, and specific treatment of osteoporosis are sometimes the cure for these often highly painful vertebral fractures. As the condition worsens over a period of time leading to severe pain in many cases conservative treatments may not give much relief in spite of long-term medical treatment. Other conditions like reduced height, kyphosis (hunch back), and chronic back pain might accompany Vertebral fracture.
When all conservative treatments fail Percutaneous Vertebroplasty is indicated for painful osteoporotic or neoplastic vertebral compression fractures.
VertebroplastyVertebroplasty is also referred to as Percutaneous Vertebroplasty. The main objective of this procedure is to strengthen the spine and relieve the pain. In this procedure, percutaneously (through a small hole in the skin ) bone cement is injected into a fractured vertebra. Vertebroplasty is primarily aimed at relief to patients with vertebral compression fractures due to osteoporosis, metastatic tumors, or benign tumors such as vertebral heamangiomas. When the lesion threatens the stability of the spine it also provides vertebral stabilization. Increase in patient mobility, decrease in narcotic needs, and prevention of further vertebral collapse are some of the benefits of Vertebroplasty.
ProcedureVertebroplasty is a minimally invasive procedure in which a image-guided technique is used by the surgeon. This procedure is performed under local anaesthesia and light sedation. During the procedure, with a biopsy needle bone cement, polymethylmethacrylate(PMMA) is injected into the collapsed or fractured vertebra using x-ray guidance. The acrylic cement forms a support structure as it quickly dries within the vertebra and provides stabilization and strength. After the procedure the small puncture wound made by the needle in the patient's skin is easily covered with a small bandage.
RecoveryThe recovery of the patient is quicker since Vertebroplasty is a minimally invasive surgery. This procedure has benefits like very little blood loss and less damage to the surrounding tissues. It is an out-patient procedure, where the patients are kept under observation for 1-2 hrs after which they are discharged. Within a week the patient can return to routine activities after a successful vertebroplasty procedure.
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