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Overview

Vertebroplasty is used to treat certain types of vertebral compression fractures most commonly caused by osteoporosis trauma or occasionally tumours. By injecting medical grade cement into the affected vertebra the procedure aims to stabilise the bone and reduce movement at the fracture site which may help ease pain.

It is typically considered when symptoms persist despite appropriate conservative care such as rest bracing and medication. In selected cases vertebroplasty may also support improved posture and function by reinforcing weakened spinal segments.

Who This Treatment Helps

Vertebroplasty may be suitable for people with

• Painful vertebral compression fractures confirmed on imaging
• Persistent pain not improved with conservative treatment
• Difficulty standing walking or performing daily tasks due to spinal pain
• Osteoporotic fractures causing ongoing discomfort
• Certain tumour related vertebral fractures

A consultation is required to confirm suitability.

What Is Vertebroplasty

Vertebroplasty is a minimally invasive spinal procedure in which medical grade bone cement is injected into a fractured vertebra. The cement hardens quickly helping to stabilise the bone and reduce painful micro movement.

Imaging guidance such as fluoroscopy or CT is used to ensure accurate placement. The procedure is usually performed under local anaesthetic with sedation depending on individual needs.

Vertebroplasty does not treat the underlying cause of osteoporosis or prevent future fractures but may help manage pain from an existing fracture.

What to Expect During the Procedure

Your consultant reviews scans symptoms and medical history
You lie face down on the procedure table
Local anaesthetic is applied to numb the skin
A fine needle is guided into the fractured vertebra
Medical grade cement is injected into the bone
The cement sets within minutes
You are monitored briefly before going home

After the Procedure

Most people can walk shortly after the procedure
Some experience immediate improvement while others notice gradual change
It is normal to experience

• Mild soreness at the injection site
• Temporary stiffness
• Fatigue for a short period

Your consultant may advise

• Avoiding heavy lifting for a short time
• Gradual return to normal activities
• Ongoing osteoporosis management if relevant
• Physiotherapy to support posture and mobility

Benefits

• May reduce pain from vertebral compression fractures
• Can improve mobility and daily function
• Minimally invasive with short recovery
• May reduce reliance on pain medication
• Can support posture in selected cases
• Often performed as a day case procedure

Possible Risks and Side Effects

Possible risks include

• Temporary soreness or bruising
• Cement leakage usually minor and without symptoms
• Infection rare
• Bleeding
• Allergic reaction to medications or cement
• Very rare nerve irritation or compression

All risks are discussed during consultation.

When to Consider Other Options

Vertebroplasty may not be suitable if

• The fracture is old and healed
• Pain originates from another spinal structure
• There is significant spinal canal compromise
• There is an active infection

Other options may include conservative care bracing physiotherapy or alternative minimally invasive procedures. In many cases a combined approach offers the best long term outcome.

Safety Note

Please inform your consultant if you take blood thinning medication have diabetes allergies are pregnant or have recent infection. You may need someone to drive you home depending on sedation used.

Arrange a consultation to discuss whether vertebroplasty may be suitable for you.

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