Vertebroplasty (percutaneous puncture vertebroplasty) - is minimally invasive surgery, which is intended to stabilize the vertebra through the injection of bone cement (polymethylmethacrylate - PMMA) into the vertebral body, or small bones that make up the spine. Literally it means "strengthening the spine," as there is the strengthening of the spine section by bone cement to eliminate compression of the nerve fibers and the consequences of breaking or reducing the height of the vertebral body.The need for this operation occurs in the case of vertebral fracture or failure to protect the spinal cord and roots. This condition causes considerable pain and reduces the mobility of the spine.
The main causes of damage to vertebrae are osteoporosis, trauma, benign and malignant tumors of the spine, and metastases in the spine.
Before the procedure is carried out a thorough diagnosis, using the methods of digital radiography, computed tomography, magnetic resonance imaging and scintigraphy are carried out.
During the operation, the patient lies on his stomach. To ensure the accuracy the procedure must be conducted under the control of radiography or fluoroscopy using modern devices of electro-optical converter.
The doctor inserts the biopsy needle into the affected vertebra of the patient and through it introduces bone cement, where contrast dye is added to, as well as an antibacterial component. Contrast allows monitoring the introduction of bone cement into the appropriate vertebra using X-rays.
Bone cement is chemically neutral substance. No cases of its rejection were observed. In addition, it also has the ability to destroy cancer cells.
In the case of vertebroplasty for the treatment of tumors of the spine, to achieve the maximum beneficial results complex therapy with chemotherapy, radiotherapy is used.
As standard for vertebroplasty of one vertebra it is necessary 1-2 milliliters of bone cement that hardens within 10-15 minutes. After this time vertebra acquires original shape, which leads to the disappearance of pain and deformation.
In most cases, patients feel a significant relief immediately after the introduction of bone cement. There are many cases when patients come to the clinic in a wheelchair and leave it on their feet.
The main advantage of vertebroplasty is that its application provides pain relief and restoration of mobility of the spine in 90 - 95% of patients. Also, there are no contraindications for its reapplication in case of problems with the other vertebrae.
The operation is minimally invasivetherefore a short rehabilitation period is, hospital stay is several days, due to the need to monitor the state of health of the patient and prevention of complications, and provides an economic benefit, especially for patients from other countries.
Patients reduce taking pain medications as the need for them is completely disappeared or declines and there is no need to wear Immobilizing corsets.
When performing vertebroplasty some side effects may occur (sensitivity disturbance and inflammation at the injection site, the occurrence of bleeding, allergic reaction to the anesthetic).
There may be intermittent discomfort at the injection site of the needle. The high professionalism of doctors, excellent equipment, advanced supplies provides qualitative operations and reduces the risk of side effects.