Vertebroplasty - Introduction

Osteoporosis, otherwise known as brittle bones in ordinary terms, is the most commonly occurring bone illness with advanced age and is characterised by a low amount of bone mass as well as the excessively rapid deterioration of bone substance and structure. As a consequence of this illness, individual bones or even the entire skeleton are more susceptible to broken bones (fractures). The fractures which result from this disease are especially prevalent in the spine. Due to a lack of stability in the bones and pains which arise as a result of fractures, the quality of life for osteoporosis patients is usually severely restricted.

If certain prerequisites are met, a percutaneous vertebroplasty (PV) can be carried out to help mitigate pain and suffering caused by fractured vertebrae or osteoporotic tumors. Thanks to this minimally invasive technique, vertebral fractures can be stabilised and pains in the spine can be reduced considerably. The advantages of a vertebroplasty are that is a very safe and very gentle procedure thanks to the minimally invasive technique used. If the vertebroplasty is performed shortly after the onset of a fracture and there are no complications, one can expect a success rate of 80-90% and a considerable reduction in pain or even the complete absence of pain. Complications such as the transfer of cement into neighboring regions are very rare.

Prior to treatment, it will be determined whether a vertebroplasty is sensible in your particular case; this determination will be made with the aid of computer tomography examinations.

Stabilisation of the fractured vertebra is achieved by injecting bone cement into the bone. This happens through the use of a fine, hollowed needle which is guided into the vertebra using continuous radioscopy. After the injection of the cement, the bone then hardens quickly under generated heat and thus fortifies the bone from the inside out. During one session, up to three vertebrae can be treated.

The procedure only requires local anaesthesia in the region of the area where a hollow needle will be inserted and may possibly be coupled with light analgesics or sedatives. At the conclusion of treatment it will be necessary to observe bedrest for a certain period. A one-day inpatient stay in the clinic is also recommended. Many patients report an immediate reduction in pain after treatment. Gradually, a reduction in pain of up to 90% or more can be achieved.^1-10