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Vertebroplasty

Vertebroplasty: Overview, Preparation, Procedure, Recovery, Risks, and Aftercare

Overview of Vertebroplasty

An osteoporosis or trauma-based compression fracture of the spine can be treated with vertebroplasty, a minimally invasive procedure. In vertebroplasty, medical-grade bone cement is injected into the fractured vertebra to stabilize it and alleviate pain. In order to improve mobility and quality of life for people with vertebral fractures, this procedure is typically performed by an interventional radiologist or orthopedic surgeon.

Preparation

To determine the location and severity of the spinal fracture before vertebroplasty, patients may undergo imaging tests such as X-rays, CT scans, and MRIs. Before the procedure, it is essential that patients discuss any existing medical conditions or concerns with their healthcare provider. Certain medications could increase the risk of bleeding or interfere with the procedure.

Procedure

The procedure is usually performed under mild sedation or local anesthesia on an outpatient basis. During the procedure, the patient lies face down on the operating table, and the skin over the affected area is cleaned and sterilized. After inserting a needle into the fractured vertebra under fluoroscopic guidance, medical-grade bone cement is injected into the vertebra to stabilize it. Cement hardens quickly, providing immediate structural support to fractured bones.

Recovery

Patients are typically monitored in a recovery area for a short period after vertebroplasty before they are discharged. A few days after the procedure, some discomfort or soreness may persist at the injection site, but the majority of patients experience immediate pain relief. If patients experience discomfort during the recovery phase, they may be prescribed pain medication and advised to avoid strenuous activity for a short period of time.

Risks

A vertebroplasty procedure is generally considered safe, however it does carry some risks, such as infection, bleeding, nerve injury, or allergic reactions to the bone cement. It is also possible for the cement to leak into surrounding tissues, but this is extremely rare. Before undergoing vertebroplasty, patients must discuss the potential risks and benefits with their healthcare provider.

Aftercare

To optimize recovery and optimize outcomes after vertebroplasty, patients may be advised to follow specific guidelines. It may be necessary to avoid heavy lifting or strenuous activity for a period of time, wear a back brace for support, and take prescribed medications as prescribed. In order to evaluate the effectiveness of the procedure and monitor progress, healthcare providers may schedule regular follow-up appointments. In the event of any unusual symptoms or complications, patients should contact their healthcare provider immediately for further evaluation and management.

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