The doctor will make a very small skin incision at the site. The area through which the hollow needle, or trocar, will be inserted will be shaved, sterilized with a cleaning solution and covered with a surgical drape.Ī local anesthetic is then injected into the skin and deep tissues, near the fracture. You will be positioned lying face down for the procedure. Your doctor may provide medications to help prevent nausea and pain and antibiotics to help prevent infection. However, some patients may require general anesthesia. This procedure may use moderate sedation. The doctor or nurse may connect you to monitors that track your heart rate, blood pressure, oxygen level, and pulse.Ī nurse or technologist will insert an intravenous (IV) line into a vein in your hand or arm to administer a sedative. Ask your doctor if you will need to be admitted. However, some patients may require admission following the procedure. This procedure is often done on an outpatient basis. Image-guided, minimally invasive procedures such as vertebroplasty and kyphoplasty are most often performed by a specially trained interventional radiologist or neuroradiologist in an interventional radiology or neuroradiology suite, or occasionally in the operating room. The nurse will give you a gown to wear during the procedure. Plan to have someone drive you home after your procedure. Other than medications, your doctor may tell you to not eat or drink anything for several hours before your procedure. Take these with sips of water on the morning of your procedure. In most cases, you should take your usual medications, especially blood pressure medications. You should avoid drinking juice, cream and milk. On the day of the procedure, you should be able to take your usual medications with sips of water or clear liquid up to six hours before the procedure. You will need to have blood drawn for tests prior to the procedure to determine if your blood clots normally. Tell your doctor about recent illnesses or other medical conditions. Your doctor may tell you to stop taking aspirin, nonsteroidal anti-inflammatory drugs ( NSAIDs) or blood thinners before your procedure. List any allergies, especially to local anesthetic, Tell your doctor about all the medications you take, including herbal supplements. You may be given bone-strengthening medication during treatment. The cement is injected into the cavity once the balloon is removed.Ī clinical evaluation will be performed to confirm the presence of a compression fracture that may benefit from treatment with vertebroplasty or kyphoplasty. During kyphoplasty, a balloon is first inserted into the fractured bone through the hollow needle to create a cavity or space. Vertebrae may also become weakened by cancer.įor a vertebroplasty, physicians use image guidance, typically fluoroscopy, to inject a cement mixture into the fractured bone through a hollow needle. Osteoporosis is a disease that results in a loss of normal bone density, mass and strength, leading to a condition in which bones become increasingly porous, and vulnerable to breaking easily. These compression fractures may involve the collapse of one or more vertebrae in the spine and are a common result of osteoporosis. When a vertebral body fractures, the usual rectangular shape of the bone becomes compressed, causing pain. Vertebroplasty and kyphoplasty are minimally invasive procedures for the treatment of painful vertebral compression fractures (VCF), which are fractures involving the vertebral bodies that make up the spinal column. If you are not to be admitted to the hospital, plan to have someone drive you home afterward. Leave jewelry at home and wear loose, comfortable clothing. Take regular medication with sips of water. Your doctor may advise you to stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) or blood thinners several days prior to your procedure and instruct you not to eat or drink anything several hours beforehand. Tell your doctor if there's a possibility you are pregnant and discuss any recent illnesses, medical conditions, allergies and medications you're taking. Your doctor will likely first evaluate your condition using diagnostic imaging or a physical exam and will instruct you on how to prepare. Following vertebroplasty, about 75 percent of patients regain lost mobility and become more active. Your doctor may use imaging guidance to inject a cement mixture into the fractured bone (vertebroplasty) or insert a balloon into the fractured bone to create a space and then fill it with cement (kyphoplasty). Vertebroplasty and kyphoplasty are procedures used to treat painful vertebral compression fractures in the spinal column, which are a common result of osteoporosis.
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