Vertebroplasty is a minimally invasive surgical procedure aimed at stabilizing vertebral compression fractures (VCFs) and providing pain relief. The procedure is commonly performed on patients with fractures caused by osteoporosis, metastatic cancer, or trauma. Vertebroplasty involves the percutaneous injection of bone cement into the fractured vertebra, which hardens quickly, stabilizing the bone and alleviating pain.
What to Expect:
- Pre-Surgery Preparation:
- Thorough medical evaluation, including imaging studies such as X-rays, MRI, or CT scans to locate and assess the fractured vertebra.
- Preoperative consultation with the surgeon to discuss the procedure, potential risks, and expected outcomes.
- Instructions on preoperative care, including fasting and stopping certain medications.
- Surgical Procedure:
- The procedure is usually performed under local anesthesia and sedation.
- A small needle is inserted through the skin into the fractured vertebra using fluoroscopic guidance.
- Bone cement is injected through the needle into the vertebra. The cement hardens quickly, stabilizing the fracture.
- The needle is removed, and the puncture site is covered with a small bandage.
- Post-Surgery Recovery:
- Most patients can go home the same day.
- Recovery involves mild pain management and a gradual return to normal activities within a few days.
- Follow-up visits to assess the success of the procedure and ensure proper healing.
What to Consider:
- Benefits:
- Rapid pain relief and improved mobility.
- Stabilization of the fractured vertebra.
- Minimally invasive with a quick recovery time.
- Risks and Complications:
- Potential risks include infection, bleeding, and complications related to anesthesia.
- Specific risks for vertebroplasty include cement leakage, which can cause nerve or spinal cord compression, and rare complications such as pulmonary embolism.
Other Information:
- Lifestyle Adjustments:
- Patients should follow postoperative care instructions, avoiding heavy lifting and strenuous activities.
- Adopting a healthy lifestyle with a balanced diet, regular weight-bearing exercises, and adequate calcium and vitamin D intake to strengthen bones.
- Emotional Support:
- Dealing with spinal fractures and surgery can be emotionally taxing. Support groups, counseling, and patient education resources can provide necessary support.
- Future Health:
- Regular follow-up appointments are crucial to monitor recovery and overall bone health.
- Preventive measures, including medication for osteoporosis, lifestyle changes, and periodic bone density tests, are important to reduce the risk of future fractures.
Vertebroplasty offers effective treatment options for vertebral compression fractures, providing significant pain relief and improved quality of life. It is essential for patients to discuss with their healthcare providers to understand the risks, benefits, and long-term care associated with this procedure.