The intervention is performed under local anaesthesia mostly in combination with a neuroleptoanalgesia. The diseased vertebral body is reached with a special application set (needle) under the accurate step-by-step guidance of computer tomography and fluoroscopy. When the needle has been placed in diseased bone (pathological fracture or bone tumor), a special bone cement with minimum viscosity is injected through this needle under continuous fluoroscopic guidance. During the procedure the patient is constantly observed and checked for blood pressure, oxygenation (PO2) and pain symptoms. The procedure lasts about 50 - 60 minutes. After the application of the bone cement the patient is placed on observation for about another 6 hours. Following a complication-free observation period the patient is discharged. After the vertebroplasty there can be an increase in pain symptoms for a few days. In most of the cases there is significant reduction in pain after 24 hours which will last for weeks up to months.

Performance of Vertebroplasty under fluoroscopy and CT guidance.

 

Document Date: 2006/05/08   Author: Ahmed Koujan

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