Vertebral fracture stabilization is needed by patients with a vertebral fracture in the spine and accident victims and osteoporosis patients. You will get to know with us the details and steps of the operation:
How Does Bone Cement Injection Treat Vertebral Fractures?
The vertebrae of the spine are exposed to a fracture when they are not able to withstand the pressure on them fully, so cracks and fissures in the bone begin to appear, after which the front of the vertebrae collapses to take the shape of a wedge and about 15% of the height of this part is lost, and a fracture occurs in the vertebra.
Older people who have osteoporosis are most vulnerable to this, but other causes are cancerous bone tumors and severe spinal injury.
Vertebral fractures are stabilized through a needle inserted through a hole in the back to the fractured vertebra, and upon reaching it, bone cement is placed inside the micro-cracks and fissures in the vertebra. The cement works to fill the voids of the affected vertebra, then turns into a solid-state, leading to stabilization of the vertebra and absence of the source of pain.
Fractures can be treated without surgical intervention, but surgery is needed in these cases:
1. Severe pain persists for at least two weeks.
2. Presence of pain with an increase in the vertical load on the vertebrae, such as carrying extra weights or increase of pain when getting up from bed, here the most likely cause of pain is a fracture in any of the vertebrae, and the best treatment is the operation of stabilizing the fracture.
3. If there are any nerve problems associated with a vertebral fracture, then stabilizing vertebral fractures will not help in pain treatment and relief. Nerve problems appear in nervous incoordination, numbness, or anesthesia, which occurs due to pressure on the spinal cord or nerve roots.
4. If the spine is in its normal state, but if it has convexity or any deformities, i.e., if a fracture of the vertebrae causes severe curvature of the spine, the appropriate treatment, in that case, is kyphoplasty. It is similar to stabilizing vertebrae fractures. It also works to return the fractured vertebra to the normal height as much as possible, which helps to treat curvature and convexity in the spine.
1. The patient is present in the operating room and is lying on his back.
2. Sterilization of the patient's back, and more extensively the area of needle insertion.
3. A topical anesthetic and a mild sedative is applied to avoid the feeling of pain at the part to which the operation would apply, and the patient interacts with the doctor normally and consciously.
4. Through a micro-puncture in the skin and using a dye scope, a needle is directed into the affected vertebra.
5. After that, the vertebra is injected with bone cement, which creates internal support that stabilizes the fractured vertebrae bones as the cement fills the cracks and fissures in the fractured vertebrae.
6. The needle is pulled out, and the cement begins to harden inside the vertebra in a short time (about ten minutes), leading to stabilization of the bone and working to harden the crumbs from the vertebral fracture.
7. Bandaging the needle puncture location.
8. The patient remains under observation for two hours after the operation to check and ensure the degree of cement hardening in the vertebra and ensure that the effect of anesthetic drugs wears off. Your doctor may ask you to remain lying down for one or two hours before allowing you to walk slowly.
After the observation period ends, the patient is free to leave the hospital and return home on the same day, and it is better not to drive the car on the same day; it is better for a friend or relative to be present to do so. If the patient is physically weak and needs to be noticed for a later period after the operation, it is preferable to stay for an appropriate period in the hospital or have someone to do so with him/her at home.
Depending on the patient's health condition, the doctor specifies some caveats and restrictions, including whether (or not) to take medications before the operation, and caveats related to doses as well and other caveats according to each case.
Vertebral fractures occur when the vertebra cannot fully bear the load on it and begins to collapse due to the tiny cracks and cracks that form in the bone. Usually the front of the vertebrae begins to collapse and begins to take on the shape of a wedge. The collapsed portion of a paragraph must lose at least 15% of its height for this to be considered a fracture of the paragraph.
Osteoporosis begins to appear in the spine before the peripheral bones, and when vertebral fractures occur, they are called lumbar fractures resulting from osteoporosis, and they can occur without the patient being exposed to any collision, and it may occur while he is asleep in his bed.