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Doctor insights on: Pain After Vertebroplasty

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What is vertebroplasty?

What is vertebroplasty?

Vertebroplasty: This is a procedure done for spinal fractures (typically for compression fractures) which are causing pain. These can be located in the thoracic or lumbar regions. It involves the injection of a cement mixture into the fractured vertebral body using xray.

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Dr. Eric Chen
43 Doctors shared insights

Vertebroplasty (Definition)

The repair of a fractured vertebra that has been compressed by placing a substance commonly referred to as " bone cement" though a needle into the vertebra to eliminate pain from that fracture by stabilizing it and in this type the procedure is done or needle directed under the use of an imaging technique known as a ct or cat ...Read more


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When is a vertebroplasty needed?

When is a vertebroplasty needed?

Severe Pain: Vertebroplasty is commonly used following failure of conservative care such as bed rest, bracing, physicial therapy or adverse effect of medication. If the pain intensity is severe following the above care, vertebroplasty is a good alternative. It may be used immediately in those patient whose pain is so intensive that hospitalization is required and in the elderly who cannot tollerate bed rest.

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What is involved in a vertebroplasty?

What is involved in a vertebroplasty?

MIS surgery: Vertebroplasty is a treatment used for vertebral fractures, such as that occurring is osteoporosis. It involved a minimal invasive approach to the vertebral body utilizing image guidance, wherein cement mixture is injected into the fractured vertebral body. It is usually done as an outpatient procedure following either IV sedation or general anesthesia.

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What are the problems with vertebroplasty?

Vertebroplasty: Complications due to vertebroplasty are usually due to polymethylmethacrylate (pmma) cement leakage from the compressed vertebral body. Pmma leakage is a frequent occurrence in vertebroplasty and the main source of complications. Neurological complications are due to cement leakage into the spinal canal and less exceptionally into the intervertebral foramen.

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Has anyone here done a vertebroplasty? How risky?

Yes: Very low risk procedure in an osteoporotic compression fracture. Risk is slightly higher for metastatic disease to the vertebral body, since cement is more likely to leak.

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What is the definition or description of: vertebroplasty?

What is the definition or description of: vertebroplasty?

A vertebroplasty is: The repair of a fractured vertebra that has been compressed by placing a substance commonly referred to as " bone cement" though a needle into the vertebra to eliminate pain from that fracture by stabilizing it and in this type the procedure is done or needle directed under the use of an imaging technique known as a ct or cat scan or by fluoroscopy

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When does someone need a vertebroplasty/kyphoplasty?

Controversial: These procedures can improve the pain on osteoporosis related compression fractures in the elderly. Unfortunately, they can also increase the risk of adjacent level fractures in these patients. Hence, I suggest patients try bracing before these procedures. If the bracing is not effective for pain control, then these procedures can certainly help with pain control

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What can you tell me about vertebroplasty/kyphoplasty?

Compression Fracture: Vertebroplasty is a procedure designed for the treatment of osteoporotic compression fractures. A needle is inserted through the back into the vertebral body with a painful compression fracture. A bone cement is injected into the bone with fluoroscopic guidance. The cement will harden in 5-10 minutes. It can result in immediate relief of pain due to the compression fracture.

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What are the realistic results I should expect from a vertebroplasty and kyphoplasty? What should my realistic expectations be about my vertebroplasty and kyphoplasty? What are the limitations of these procedures? .

Verterbo/kyphoplasty: In approximately 80% of carefully chosen patients, pain is significantly reduced or resolved. This means, though, that the physician performing the procedure must ascertain that you are a good candidate for the procedure - there should be high suspicion that your pain is due to acute or subacute vertebral fractures.

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What is the difference between a vertebroplasty and a kyphoplasty? It seems like vertebroplasty and kyphoplasty are always mentioned together. Why are they still separate? What is the difference between these two procedures? .

What is the difference between a vertebroplasty and a kyphoplasty? It seems like vertebroplasty and kyphoplasty are always mentioned together. Why are they still separate? What is the difference between these two procedures? .

Vertebroplasty: Vertebroplasty is the direct injection of plastic into the fractured bone. Kyphoplasty a cavity to hold the plastic is made first prior to injecting. Occasionally the fracture can be partially reduced (return to non fractured state) during cavity formation. Overall they are very similar procedures. Please see my health guide on vertebral body compression fractures. Good luck!

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If you have done kyphoplasties and vertebroplasties, for people with vcf, what are the specific benefits of a kyphoplasty over a vertebroplasty?

Some benefit: Kyphoplasty uses a balloon to inflate inside the vertebrae. This forms a cavity for the cement to be placed in. This can be beneficial to help contain the cement and prevent it from leaking out. However, leaking out of the bone can still occur. It was also thought to restore the height of the compression, but over time this was shown not to be true. Both techniques can be very helpful for pain.

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Are there any risks I should be aware of before my vertebroplasty and kyphoplasty? My vertebroplasty and kyphoplasty are scheduled for two weeks from now. Are there risks that I should prepare for? .

Are there any risks I should be aware of before my vertebroplasty and kyphoplasty? My vertebroplasty and kyphoplasty are scheduled for two weeks from now. Are there risks that I should prepare for? .

Vertebroplasty: Vertebroplasty and kyphoplasty are usually safe and helpful procedures but there are many risks related to the procedure, anesthesia and your general health. The risks include death, stroke, heart attack, pneumonia, blood clots in lungs and legs, fat embolus, plastic spreading to the lungs, lung collapse, spinal cord or nerve injury causing pain, numbness, weakness, bowel and bladder incontinence or paralysis, infection, bleeding, but not limited to these complications. People with one fracture are at increased risk of future fractures. Please see my health guide on vertebral body compression fractures. Good luck!

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Can you tell me if a great deal of pain. My doctor has suggested vertebroplasty. How long does the procedure take?

Compression fracture: Vertebroplasty and kyphoplasty can treat compression fractures in the mid and lower back. The procedure is done as an outpatient and takes 30-60 minutes to perform.

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Does vertebroplasty/kyphoplasty actually have better results compared to sham procedures/placebo effect? (referencing an article in nejm aug 2009)

Does vertebroplasty/kyphoplasty actually have better results compared to sham procedures/placebo effect? (referencing an article in nejm aug 2009)

Yrs: I have read this study my opinion is badly flawed I have done thousands of these my impression was it worked wonders but only on new fractures not all wedges are new fractures it works if the diagnosis of acute fracture is correct it won't fix chronic back pain from spondylitis or low backache from saggital plane imbalance it will fix new terrible pain after a fall that shows increased single mri.

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How can vertebroplasty, kyphoplasty help treat spinal fractures?

Stabilizes fracture: Kyphoplasty is an excellent treatment for patients with osteoporotic compression fractures that are failing conservative care or are in debilitating pain. It relieves the pain by stabilizing the fracture. Check out kyphon. Com.

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What is the definition or description of: ct-guided vertebroplasty?

What is the definition or description of: ct-guided vertebroplasty?

A vertebroplasty is: The repair of a fractured vertebra that has been compressed by placing a substance commonly referred to as " bone cement" though a needle into the vertebra to eliminate pain from that fracture by stabilizing it and in this type the procedure is done or needle directed under the use of an imaging technique known as a ct or cat scan.

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Has anyone had a vertebroplasty for a compression fracture?

Has anyone had a vertebroplasty for a compression fracture?

Yes: I have performed many. Usually done for acute compression fractures less than 6- 8 weeks old and cancer involving the vertebral body which is very painful.

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How serious is a vertebroplasty for a compression fracture of the spine?

How serious is a vertebroplasty for a compression fracture of the spine?

Its a minor surgery: Vertebroplasty is typically an outpatient surgery that is done with conscious sedation and local anesthetic. The procedure takes about 30 minutes. The complication rate is very low. There is typically minimal blood loss. Otherwise healthy patients can usually go home about an hour after the procedure.

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