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VERTEBROPLASTY


What is vertebroplasty?
Vertebroplasty is a pain treatment offered at the California Imaging Institute for compression fractures of the spinal column that fail to respond to conventional medical therapy, such as minimal or no pain relief with analgesics or narcotic doses that are intolerable.

Vertebroplasty stabilizes the collapsed vertebra with the injection of medical-grade bone cement into the spine. This improves pain, and can prevent further collapse of the vertebra, thereby preventing the height loss and spine curvature commonly seen as a result of osteoporosis.

Vertebroplasty dramatically improves back pain within hours of the procedure, provides long-term pain relief and has a low complication rate as demonstrated in multiple studies.

It is very important for someone with persistent spinal pain lasting more than three months to consult an interventional radiologist, and people who require constant pain relief with narcotics should seek help immediately.

What causes compression fractures?
Osteoporosis is the predominant cause of compression fractures of the spine. Osteoporosis is called a "silent disease," because bone loss occurs without symptoms. People may not know why they have osteoporosis until their bones become so weak that a simple strain, twist of the body, bump or fall causes a bone fracture. Fractures may occur in the hip, wrist, ribs or elsewhere, but the most common site of fracture is in the vertebrae, the bones that make up the spinal column.

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Who is at risk?
Factors that increase the likelihood of developing osteoporosis include:
  • Being female
  • Being thin or having a small frame
  • Advanced age
  • A family history of osteoporosis
  • Being postmenopausal
  • Abnormal absence of menstrual periods
  • Anorexia or bulimia
  • A diet low in calcium
  • Long-term use of medications such as cortico-steroids or anticonvulsants
  • Lack of exercise
  • Smoking
  • Excessive use of alcohol
Who is a candidate for vertebroplasty?
People who have suffered recent fractures that are causing severe back pain despite standard therapy with rest and pain medications are the best candidates for vertebroplasty.

Older fractures may be treated, but the procedure is most successful if it is performed within one year of when the fracture occurs. Chronically painful fractures causing pain for months to years are also very frequently treated with excellent results. The procedure is not used to treat arthritis or herniated discs.

For more information please call the California Imaging Institute at 559.325.5800.

To learn more about compression fractures and vertebroplasty or Interventional Radiology, please visit the Society of Interventional Radiology at www.SIRweb.org.