Services
Osteoporosis Fracture Therapy
(Percutaneous Vertebroplasty)
What is Percutaneous Vertebroplasty?
Percutaneous Vertebroplasty is an effective treatment for patients
suffering from painful compression fractures of the thoracic and lumbar
spine commonly associated with osteoporosis, tumors or vertebral
hemangiomas of the thoracic and lumbar spine.
Who should be considered for this procedure?
The most common fracture from osteoporosis is a vertebral compression fracture. 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