Vertebroplasty
Fractures in the bones of the spine (vertebrae) can cause severe back pain and loss of movement. Vertebroplasty is a procedure in which a type of surgical cement is injected into the fractured vertebrae. This can make the spine more stable and relieve back pain. The procedure is often done by a specially trained doctor called an interventional radiologist.

Before the Procedure
Follow any instructions you are given on how to prepare, including:
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Do not eat or drink after midnight the night before the procedure.
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Tell your radiologist what medications, herbs, or supplements you take; if you are, or may be, pregnant; or if you are allergic to contrast medium (x-ray dye) or other medications.
During the Procedure
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You will change into a hospital gown and lie face down on an x-ray table.
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An IV (intravenous) line is started to give you fluids and medications. You may be given medication through the IV to help you relax and make you feel sleepy.
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A local anesthetic will be injected into the back to numb the area. Then, a needle is inserted into the back.
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Contrast medium will be injected into the area. This helps show the needle and vertebrae clearly on x-rays. Using video x-ray images as a guide, the radiologist moves the needle to the vertebra to be treated.
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A cement-like plastic material is injected into the vertebra. The procedure is repeated on other vertebrae if necessary.
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The entire procedure may take several hours, depending on how many vertebrae are being treated.
After the Procedure
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You will be asked to lie flat for 1 to 2 hours after the procedure while the cement hardens.
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You will most likely be able to go home within a few hours. Or you may need to stay in the hospital overnight.
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You may feel an ache at the puncture sites for the next 24 hours. To ease this pain, use ice or pain medications as directed.
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Drink plenty of water to help flush the contrast medium from your system.
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You may be able to go back to your normal activities in about a day.
Potential Risks and Complications
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Bleeding
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Infection
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Rib or vertebral fracture
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Irritation of nearby nerves
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Worsening of pain
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Problems due to contrast medium, including allergic reaction or kidney damage
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Leakage of cement, requiring surgery to remove it (very rare)
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Spinal cord damage (very rare)
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Date Last Reviewed:
4/2/2003
Date Last Modified:
4/2/2003