Vertebroplasty is a medical term that refers to the injection of a plastic cement into the vertebral column or small bones that build up the spinal cord
Vertebrae in the spine are generally thick bone covering a hole for the spinal column. They can degenerate with weakness caused by osteoporosis, from malignant growths and abnormalities in the veins and arteries of the spine. The plastic cement protects the vertebrae and bone by building up an internal casting which limits fine fractures from causing any more damage to the bone
How one can prepare for vertebroplasty?
At The Pain Management Institute Dr. Zaki Anwar, MD will examine your condition and recommend vertebroplasty if you are suffering from excruciating back pain as it is the major indication of a damaged spinal column. However, it is essential to diagnose that the pain you are suffering is occurring from a fracture of the vertebral column and not from any other cause that brings back pain such as arthritis.
Dr Zaki Anwar uses the most authentic method MRI for the diagnosis to ensure the root cause of back pain. If you have certain medical conditions such as diabetes, hypertension or you are taking blood thinning medication you must discuss with your physician
Prior to the vertebroplasty procedure you will be given an IV sedation to make you feel relaxed. You will asked to stop taking fluids also milk and fluids must be avoided
What happens during the procedure?
The process of vertebroplasty is performed under local anesthetic with sedation, you will be fully conscious and the only areas will be numbed where the vertebroplasty is carried out
You will lie on your stomach and a needle will be administered passing through the edges of the vertebra from back to front. The injections are administered under fluoroscopy so that the needle can be tracked and placed in the aimed location
A contrast pigment is injected before the PMMA to ensure the injected cement may not leak into the spinal canal or the nerves surrounding. The contrast pigment is much liquid than the injected cement so it can spread quite easily and shows up potential problems
Complications and risks
According to Dr Zaki Anwar, MD. In my years of practice, I have seen rare complications in up to 5% cases. The risks increase when the vertebral bone is damaged by a tumour and become weak enough to bear the pressure of the cement
Another complication involves accidental leakage of cement outside the vertebral bone, causing nerve damage from the direct contact with nerves