ES

Osteoporotic spine

Vertebroplasty

With fragile bone, moderate effort is enough to crush a vertebra.

Frequently asked questions

Injection of cement into the fractured vertebra through a needle.

The cement supports the vertebral body as soon as it sets and the fracture pain settles quickly. It is done percutaneously under X-ray control, which is what minimises the risk of cement leakage.

Timing is what matters. In the long term the outcome may match conservative treatment, but when performed early the saving in time spent in pain and with restricted mobility is dramatic: the sooner, the better. Case selection still matters, and it generally does not correct the collapse.

Typical indications

  • Recent painful osteoporotic fracture

Frequently asked questions

How can a little cement take the pain away?

By supporting the vertebral body from the moment it sets: the fractured vertebra stops moving with every gesture and the fracture pain settles quickly. It is injected through a needle, percutaneously and under X-ray control.

Can the cement leak out?

Cement leakage is the risk to watch for, and X-ray control throughout the injection is exactly what minimises it. This is not a procedure without risk, it is a procedure done while watching.

I have been told that rest and a brace would also get me there. Why operate?

It is true that in the long term the outcome may match conservative treatment. The difference is time: performed early, the saving in time spent in pain and with restricted mobility is dramatic. The sooner the better — and case selection still matters, because not every fracture is suitable.

Will it straighten my collapsed vertebra?

It generally does not correct the collapse: its aim is to give support and take the pain away, not to restore the shape of the vertebra. When recovering height and reducing wedging is what matters, the option considered is kyphoplasty, and only in recent fractures.

The information on this page is for guidance only and does not replace a personalised medical assessment. Whether any technique is indicated depends on each patient's examination and scans.

Other techniques in osteoporotic spine

Could one of these fit your case?

I review your scans and tell you frankly which option makes sense, including not operating.