Vertebroplasty Gives Relief

Osteoporosis is a major health problem throughout the United States and the developed world.  In the US alone, more than 700,000 vertebral body fractures are diagnosed yearly, resulting in more than 100,000 hospital admissions.  With an aging population, the number of osteoporatic fractures is expected to increase significantly in the coming years.  This relatively new procedure promises dramatic relief from painful vertebral body compression fractures.

Vertebroplasty is a technique where bone cement is injected into the vertebral bodies of the back.  When the cement hardens it becomes a permanent spinal reinforcement.  The procedure is performed to treat painful compression fractures of the spine that have not responded to simpler methods such as bed rest, bracing or relief of pain without loss of consciousness (analgesia).

The fractures are typically caused by osteoporosis, but occasionally tumors such as breast cancer and other types can be treated to reduce the pain.  In some cases traumatic fractures of the vertebral bodies can be treated.  The procedure is not used to treat ruptured discs or other types of degenerative spine disease.

Prior to the procedure a workup is done by the radiologist, which can include CAT scan or MRI scan, fluoroscopy, plain films and physical examination.  The patient will meet with the radiologist to discuss whether they are a good candidate for the procedure.

The procedure consists of placing a needle through the skin and bone under x-ray guidance.  This allows us to see the position of the needle at all times.  Once positioned, a small amount of x-ray dye is injected to make sure the needle is in the proper place within the bone.  Bone cement is injected through the needle into the vertebral body.  This cement has been used for over 30 years in artificial joints, with a very good safety record.

After the procedure the patient will rest in a recovery area.  The majority of patients leave the hospital the same day.  Side effects are rare and occur in less than 1% of patients who undergo the procedure.  Up to 90% of patients report pain relief within 24 hours of the procedure and consequently greater independence and reduced need for pain medication.