Image guidance is utilized in order to execute this procedure as a treatment for painful spinal compression fractures and for certain kinds of spinal cancer. Vertebroplasty treatment required inserting a needle into a fractured vertebral body and injecting particular bone cement.
In most of the cases, patients observe a strong reduction in their pain. Nearly 700,000 vertebral, or spinal bone, fractures take place every year, frequently in women over the age of 60 years. As per the research, the results demonstrated that at least 25% of women and to some extent men over the age of 50 go through one or more spinal fractures.
On the other hand, younger people also go through these fractures, specifically, those whose bones have turned out to be fragile because of the long term utilization of steroids or other medications to treat a range of disorders, for example, lupus, asthma and rheumatoid arthritis. Of specific concerns are spinal fractures due to progressive weakening of the bone (recognized as osteoporosis).
The collapsed vertebra is settled during the procedure by means of utilizing particularly formulated acrylic bone cement that works in a way to offer relief from discomfort and prevent further breakdown of the vertebra. The procedure can be executed in the interventional radiology suite or an operating room. The supply of the bone cement into the fractured vertebra involves consistent image direction, which is made possible utilizing an X-Ray guidance machine (likewise named fluoroscopy). In this scenario, numerous images are captured at different angles and utilized all through the procedure.
Conscious sedation, observed by means of an intravenous (IV) line, is commonly utilized in order to help the patient relax, however, stay awake. A local anesthetic, (for example, lidocaine) is utilized in order to numb the whole affected area before and during the procedure. On the other hand, a few experts may utilize a general anesthetic for certain patients. The patient is required to lie face down on the table and the patient’s back is prepared to utilize alcohol and lidocaine.
With the help of continuous utilization of X-Ray guidance, the doctor inserts a couple of needles into the affected area through a little incision. The doctor at that point inserts a little measure of acrylic resin bone cement gradually into the vertebra, still with the guidance of X-Ray imaging. In order to observe the flow of the cement into the vertebral body, the doctor will combine an opacifying agent, for example, barium into the medical cement.
The procedure requires just around an hour of a single fracture vertebra. Afterwards, patients usually relax in a recuperation room or observation area for a few hours as the conscious sedation wears off.