Vertebroplasty: An Advanced Care & Treatment for Vertebra
The procedure known as vertebroplasty is
used for stabilizing a spinal fracture and to ease the pain the fracture
causes. Because it is administered by simply puncturing the patient's skin,
rather than with an open incision, it is thought to be minimally invasive.
How This Procedure Is Done
The patient is given light sedation and
local anesthesia, and if he or she has difficulty in tolerating sedatives, only
a local anesthetic is used. During the procedure, a biopsy needle is used to
inject special bone cement into the fractured or collapsed vertebra. This is
accomplished with the guidance of a fluoroscopic x-ray. Note that the cement, which
hardens quickly, creates a support structure in the vertebra, providing both
strength and stabilization to the bone. Also, the tiny puncture in the
patient's skin that remains only has to be covered with a bandage.\
What Patients Can Expect
This procedure is usually completed
within an hour, and bed rest is generally recommended for the next 24 hours.
Patients can gradually increase their normal activities, and in most cases,
they can also resume taking their prescribed medications. If patients experience
any soreness at the puncture site, they can use an ice pack to relieve it. As a
rule, patients are warned against driving themselves home after having the
procedure. Consequently, if they have a long distance to travel, they may have
to spend the night somewhere in the area before continuing their journey. If
the patient is frail, requires further observation or will be unassisted at
home, a brief hospital stay may also be recommended
Finding A Specialist
Doctors performing vertebroplasty
include radiologists, interventional neuroradiologists, neurosurgeons,
orthopedic spine surgeons and pain management physicians. Certification
requirements in this area include training in using the fluoroscopically guided
needle, preparing the acrylic bone cement for the procedure, setting up the
cement delivery system, and delivering the cement safely into the patient's
vertebra. The related training also covers criteria for selecting patients who
can tolerate the procedure and protocols for patient care.
Latest Medical Findings
At this point, it is unknown whether
either this procedure or kyphoplasty will increase the patient's risk of
another bone fracture. However, it has been established that a patient who
sustains a fracture due to osteoporosis may also suffer additional fractures.
The procedure's effectiveness is also somewhat controversial. Two blinded and
randomized trials that were conducted found no benefit for the participants,
but they did not include subjects who had suffered acute vertebral fractures.
It has also been stated that this procedure will only be successful when it
done on patients whose injuries are six weeks old or less, and these two trials
were not conducted on that basis.
How Patients Benefit From Having The
Procedure
Many people who have this done
experience a significant lessening of their pain within 24 to 48 hours and an
improvement in their ability to perform normal daily activities as well. Recent
research has also revealed that the procedure often relieves pain resulting
from compression fractures for approximately three years afterwards.
Resource Box:
Dr. Mandeep Singh is one of the best and
well experienced Orthopedic Surgeon In Delhi. Meet
him for the best treatment for your vertebrae, followed by complete
post-operative care.
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