A minimally invasive, image guided therapy used to relieve pain from a vertebral body fracture is known as percutaneous vertebroplasty. The procedure can increase patient mobility, prevent further vertebral collapse and decrease narcotic needs. The procedure involves percutaneous injection of cement, polymethylmethacrylate into the vertebral bodies. In short, percutaneous vertebroplasty is a treatment for vertebral compression fractures. These kinds of fractures are the common cause of disability and pain.
The treatment may also be used to give pain relief to the patients with severe painful osteoporosis. It can stabilise the fractured vertebrae and restore vertebral height in certain cases. The procedure of percutaneous vertebroplasty is usually performed in the interventional/angiography radiology suite under the guidance of a spine surgeon or interventional radiologist. The patient will be given a local anaesthetic and light sedation before going for the procedure. It can be even performed only with local anaesthetic, if the patient has any other medical issues and who is not able to tolerate the sedative well.
The bone cement is injected into the collapsed or fractured vertebrae with a biopsy needle, which is placed with fluoroscopic x-ray. The cement used in the procedure hardens easily and forms a support structure within the vertebrae that provides strength and stability. After the procedure, the small punctures made on the patient’s face by the needle will be covered with a small bandage.
Percutaneous vertenbroplasty is indicated for conditions such as:
- Osteoporotic vertebral fracture
- Spinal tumors and
- Vertebral hemangioma
- Neurological defect
- Allergic reaction
- Fracture of vertebrae, sternum or rib
- Hemothorax and
The doctor will decide whether the patient requires a percutaneous vertebroplasty or not after diagnosing the issue by tests like CT and X-rays. However, the minimally invasive procedure can offer a promising result for people who suffer from vertebral fracture and pain. This procedure stands as a significant pain reliever which has the potential for improving functional results.