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Who should be considered for this procedure?
Most individuals have compression fractures due to
osteoporosis. Typically, these are women older
than 55 and have fractures of at least 4-6 weeks of
age that have not responded to conservative measures.
Men with similar fractures and presentation are also
candidates for this procedure.
How
is the procedure performed?
Patients undergo an MRI, X-ray, CT or Bone Scan to
identify the level or levels to determine if they
are a candidate for the procedure. The procedure
is performed on an outpatient basis using intravenous
sedation and local anesthetic. The procedure
is only mildly uncomfortable and lasts about 40-60
minutes. A needle is inserted into the fractured
vertebra through a tiny skin incision using x-ray
guidance. Bone cement is injected into the fractured
vertebra to prevent further collapse and to alleviate
pain.
Is
the bone cement harmful?
No, the same bone cement has been used in joint replacements
of the hip and knee for over 30 years. Sterile barium
is added to the cement so it can be viewed on x-ray.
There are no known long term risks of this cement
when placed within the spine. An antibiotic may also
be used to decrease the risk of infection. Patients
can move normally with cement in the vertebral body
and will not have any mobility impairment associated
with the cement.
Will
my health insurance plan pay for a Percutaneous Vertebroplasty?
Generally, most insurance policies (including Medicare)
will pay for this procedure for persons who are diagnosed
with vertebral compression fractures.
Where
can I get additional information regarding this procedure?
Ask your doctor or contact Orthopedic Imaging Center
at 210-617-9100.
To
schedule, please call our offices: 210-617-9000
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