This pain procedure is done for painful vertebral compression fractures. Bone cement is injected through a needle to fix the fracture. Vertebral augmentation is accomplished by
injecting polymethylmethacrylate (PMMA) cement into a vertebral
body via a percutaneously placed cannula.
Complete pain relief can occur
very early after vertebroplasty
Why vertebroplasty is done?
Vertebroplasty is done in the following indications.
Osteoporotic compression fractures of the thoracic or lumbar vertebrae, not responding to medical management.
Osteolytic metastatic vertebral fracture.
Vertebral fracture in Multiple myelomas.
How long does a vertebroplasty procedure take?
It depends upon the number of vertebrae needs to be fixed. A single level usually takes 45 mins to 60 mins.
What are the complications of vertebroplasty?
Hemorrhage - To prevent hemorrhage in the region, applying pressure and cold packs after the procedure may be helpful.
Infection - prophylactic antibiotics are usually administered to prevent this.
Cement extrusion, leakage - Anterior leakage is more common but it does not produce any clinical symptom, Leakage of cement into the epidural space may compress the spinal cord and/or nerve roots leading to paralysis, this condition required urgent surgical decompression.
Pulmonary embolism with bone cement.
Fracture of lamina, pedicle.