Overview Percutaneous vertebroplasty,
also known as PVP, has been performed since around 2002. The procedure
is generally performed on individuals who have been diagnosed with
osteoporosis, or loss of bone mass, due to aging. Because of this lack
of bone mass, individuals are at an increased risk for spinal fractures.
Such fractures are often called compression fractures, caused by the
collapse of weakened bones in the spine.
The
condition generally causes back pain, limited range of motion and
mobility, and, depending on location, a stooped posture. In many cases,
the fracture will heal by itself, but in others, pain increases as the
bones are crushed and move away from each other. This results in a loss
of height and extreme humps and stooped posture resulting in severe
difficulty with movement as well as increased pain.
Who Benefits From Percutaneous Vertebroplasty? Individuals diagnosed with osteoporosis and spinal degeneration
may benefit from the procedure. Individuals are generally over 60
years of age. Individuals experiencing severe back pain caused by a
broken bone or vertebra in the back that have not experienced pain
relief after therapies to control pain or prescribed bed rest may also
benefit from vertebroplasty. In most cases, individuals with newer
fractures experience better and faster results than those with older
fractures, though success in treating both is available. Vertebroplasty
is successful an average of 80% in the reduction of pain relief and
increased mobility.
Some
individuals may experience contraindications to this procedure including
those with current and active infections, those with coagulate shun a
shoes and those experience multiple and chronic spinal fractures.
Percutaneous Vertebroplasty Procedure Percutaneous
Vertebroplasty, or PVP procedures involve the insertion of a needle
into the area were crushed or damaged bone is located. Bone cement is
injected through the needle into the fractured or crushed bone area.
Bone cement is generally made through a semi-solid combination of
polymethylmethacrylate (or PMMA), typically used in orthopedic joint and
fracture procedures. One or more areas can be treated at the same time,
but doctors will determine placement of the bone cement in order to
facilitate greatest maintenance or increase of spinal strength and
mobility.
Research
continues to devise new types of bones cement including injectable bone
augmentation cements that are biodegradable and bioactive, which will
not only strengthen and support the vertebral column, but increase and
generate and encourage new bone growth around the former fracture site.
The
needle is inserted into the spinal area using x-ray technology. This
procedure is a closed surgical procedure and can be done within an hour.
Most patients do well with topical or numbing medication and are awake
during the procedure. However, some patients experiencing severe pain
may be given medication to help them relax or sleep.
In most
cases, patients are able to leave the hospital or outpatient facility
within a few hours following the completion of the procedure.
How Much Does Percutaneous Vertebroplasty Cost? According
to the American Association of family Physicians, nearly $750 million
has been spent on the treatment of spinal fractures in the United States
in the past decades. The baby boomer generation is expected to
increase both the incidents and costs of treatment for osteoporosis.
Depending on the location and severity of the compression or crushed
spinal fracture area, costs for treating spinal fracture can range
around $6,000 but such costs don't cover surgeon's fee and may not cover
outpatient or facility costs. However, individuals traveling to
foreign medical destinations such as Mexico, Central Europe, and
Southeast Asia may receive excellent and effective health care for
spinal treatments for up to half the cost of such services in the United
States.
Who Performs Percutaneous Vertebroplasty? An
orthopedic surgeon generally performs the percutaneous vertebroplasty
procedure. It's important to find an experienced and qualified
professional who has experience with different techniques for spinal
procedures, especially those related to treatment and pain relief of
osteoporosis. Be sure to check the facilities before settling on a
surgeon, and make sure that they are accredited, and that surgeons and
their staff are trained, experienced and certified in their field. |