About Procedure

Vertebral augmentation refers to a category of procedures that require the use of surgery, done to help provide stability to the patient’s vertebra that is fractured and reduce pain caused by the fractured vertebra. The three different procedures that are categorized under vertebral augmentation are balloon kyphoplasty, vertebroplasty, and radiofrequency vertebral augmentation.

 

The brachial plexus block is a procedure that requires the assistance of an ultrasound and involves the use of either anesthesia or a mixture consisting of anesthetic and steroid medication. The medication is injected into the brachial plexus, which is a matrix of nerve fibers that traverse to the arms from the spine.

Patients that undergo one of the vertebral augmentation procedures have endured some type of spinal compression fracture. Patients suffering from osteoporosis that have undergone some form of minor trauma to the back have greater likelihood of suffering from a spinal compression fracture as osteoporosis is a condition that leaves the spinal vertebrae in a vulnerable state, which means that even the most minute of injuries can result in a compression fracture. Other causes of compression fracture include infection of the spine or possible existence of a tumor.


Each form of vertebral augmentation procedure is minimally-invasive and the patient for the most part is discharged on the same day or in some cases, may be required to stay in the hospital overnight. All of the procedures do require the insertion of a cement substance into the interior section of the fractured vertebrae, creating a cast that serves to provide stability and minimize the pain the patient experiences.


Vertebroplasty is a surgical procedure done to help provide stability to the fractured spine and to eliminate the sensation of pain resulting from the fracture. The procedure is minimally-invasive for the simple fact that it requires only a minute puncture into the patient’s skin.

Kyphoplasty is a surgical procedure done to to help reduce the pain brought on by a spinal fracture which results in the bone becoming unstable and even a decrease in the individual’s height due to the compressive nature of the fracture. In addition to reducing the pain, the surgery seeks to provide stability to the bone structure as well as possibly partially or fully restoring lost vertebrae height.

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    What Hurts?

    Frequently Asked Questions (FAQ's)

    A combination of local anesthetics (to numb pain) and opioids (to provide stronger pain control) is commonly used. The mix is tailored according to each patient’s condition and level of pain.

    Doctors may recommend an epidural when oral or intravenous pain medicines are no longer providing adequate relief, or when side effects from systemic medications become difficult to manage.

    Most patients feel only mild pressure or discomfort during the procedure. Risks are minimal when performed by a trained pain specialist, though possible complications include infection, bleeding, or temporary numbness.

    In some cases, patients can manage a portable epidural pump at home under close supervision by a healthcare team. Regular follow-ups ensure proper functioning and safety.

      What Hurts?

      Vertebral Augmentation