Vertebroplasty spine. Price, feedback after the surgery, how the rehabilitation

Vertebroplasty is used to repair damaged vertebrae (trauma, tumor, osteoporosis). For operations use only high-quality equipment, and qualifications of all staff should be higher. Price on vertebroplasty, depends on the level of difficulty and the region of operation. After the procedure is guaranteed by the full restoration of spinal function.

What is vertebroplasty?

Vertebroplasty - a minimally invasive surgical procedure conducted to strengthen damaged vertebrae using bone cement health.

For the procedure used:

1. Specialized needle. Using it is a puncture to the vertebra. Further on it is made of bone administering the mixture into a damaged vertebra.

2. Medical cement (Injected at a temperature of 60 degrees). This mixture consists of bone cement, an antibiotic and a contrast agent:

• bone cement becomes dense structure after 10 min. During this time the surgeon. higher qualification. should enter it in the appropriate area;
• Antibiotics are used to kill the infection, the possible cancer cells, and reduces the risk of side effects;
• a contrast medium and to track movement and cement as filling material vertebra.

3. X-ray device. It is used to control the movement of the artificial bone material and fixing the damaged vertebra.

4. Mini video camera. Required to monitor progress operations.

After surgery, scar size is 5 mm. This reduces the risk of complications after surgery (inflammation, infection hit, ligaments and nerve cell injury), reduces the rehabilitation period. After surgery vertebra becomes a fortress, disappearing pain and reduced risk of cancer. There is a full recovery of functions of the spine.

effectiveness of the procedure

Vertebroplasty Spine (per operation often depends on the surgeon's skill and cost of materials used) in 90% of cases there is a successful outcome of the procedure.

The effectiveness of vertebroplasty and the pros:

• a high percentage of the full restoration of spinal function. Mobility gradually returns. As a consequence of improving human posture, and thus the functioning of the internal organs;
• damaged vertebra is accompanied by severe pain, resulting in limitation of motion. After the procedure soreness movements completely eliminated, some discomfort can persist in rare cases;
• procedure can be performed under local anesthesia. As a result of the operation is permitted elderly people;
• required for insertion of the needle the incision is 5 mm, resulting in minimum risk of bleeding, infection and inflammation of hitting the surgical site. It also reduces the likelihood of injury the nerve endings and tendons;
• After the operation the bone cement hardens quickly. If there is no risk of complications, a patient may be 2 hours to leave the clinic. If there are factors of development of side effects, it is necessary to monitor above the patient up to 2 days.

Effectiveness of the procedure is reduced when the patient does not comply with the rules of the recovery period, or was hidden contraindications.

testimony

Vertebroplasty is indicated for pathologies:

• osteoporosis. Age is a disease characterized by bone fragility and is accompanied by severe pain;
• hemangioma. It neoplasms benign nature, which lead to fragility of vertebrae. The disease can be congenital (such pathology usually resolves itself), and acquired, as a result of injury;
• the infectious nature of the disease infecting cells of bone (osteomyelitis, tuberculosis);
• cancers in bone or metastases from nearby organs. Malignant cells lead to vertebrae collapse. Vertebroplasty restores density and prevents the development of cancer cells;
• spinal injury. Procedure assigned if damaged vertebra more than 1/3;
• diseases accompanied by necrosis of the bone. how to restore vertebrae is made after eliminating the root causes;
• lack of calcium in the body. As a result, the bone becomes very fragile and the functioning of the spine is broken.

These diseases initially subjected medical therapy in the absence of recovery vertebrae result produced by performing vertebroplasty.

Contraindications

vertebroplasty spine (the price of the procedure can be reduced if you pay through medical policy) has 2 types of contraindications (temporary and lifetime).

Relative (temporary) contraindications	Absolute (lifetime) contraindications
The presence of noninfectious disorders / bone deformation in the area of ​​the procedure	The presence of purulent necrotic process in the bone.
Clamping of the spinal nerve at the site of a legend for the operation.	Poor blood clotting.
The narrowing of the spinal cord canal due to trauma or tumors.	Allergy to the elements of bone cement, a contrast agent or an anesthetic.
Infectious disease in any form (ARI, influenza, angina).	Violation of the integrity of the vertebra is not accompanied by painful symptoms and does not affect the functioning of the spine.
Damage to the spinal cord.
The disease can be eliminated by medication.
Pathology of cardiovascular system in an acute form.

The procedure is strictly forbidden in the presence of absolute contraindications.

Relative prohibitions may be a time limit for carrying out vertebroplasty. In some cases, they can be ignored if this operation is the only method of treatment.

Kyphoplasty and Vertebroplasty: what is the difference of procedures?

The purpose of vertebroplasty and kyphoplasty is to restore the integrity of the vertebra using medical cement.

The difference between treatments:

kyphoplasty	Vertebroplasty
We need a small incision in the desired area to the vertebra. Further, it is made using a drill hole. Through it will be filling the vertebral cement using a syringe system. Also introduced through the opening special deflated balloon. As a result, it increases the risk of getting infections and complications.	Filling vertebral cement produced through specialized needle. The risk of getting the infection and the development of complications is minimal.
The balloon used for vertebral strain, for the return of his former size. To this end, it is gradually pumped under pressure. Once the vertebra is returned to the desired shape, the balloon is deflated and removed.	There is no possibility to eliminate the deformation of the vertebra. Therefore, in this case, vertebroplasty is performed if there are contraindications to the kyphoplasty (in this case a general anesthetic).
Vertebra is filled with bone cement gradually eliminates the possibility of leakage of the material outside the vertebra.	The process of filling the vertebral cement is regulated by the apparatus. In rare cases, there is leakage of the material outside the vertebra that disrupts the functioning of the spine.
The operation is performed under general anesthesia.	For surgical intervention is enough to use local anesthesia.
After the procedure the patient is monitored from days to 7 days.	After the surgery the patient is released through the home 2 hours, sometimes up to 2 days was observed.

For the procedure used materials of the same composition, but kyphoplasty in 2 times more expensive than the cost of vertebroplasty due to the complexity of the operation. Restore the deformed vertebra via kyphoplasty possible within 8 weeks after injury. this procedure is not used to eliminate chronic injuries.

What is a bone cement for vertebroplasty?

Vertebroplasty is performed using a preparation polymethyl methacrylate (bone cement). Its purpose - to restore the density of the damaged vertebra and the normalization of the functioning of the spine. The elements that make up the material are expensive, relatively high price as a result of this procedure.

Bone cement is prepared by mixing a liquid monomer and a pulverulent polymer. A compound elements is made before administration of the material in the vertebrae. When this mixing reaction occurs at high temperature: 60 degrees (the process takes 6-8 minutes).

Weight in appearance is similar to toothpaste. In this state, the material penetrates into all defective parts vertebra. After 10 minutes, the bone cement is completely solidified and converted into a conglomerate which is able to withstand a pressure of 100 Pa.

for vertebroplasty cement should have the following properties:

• the viscosity must allow the material evenly distributed in the vertebra, but not flow beyond it;
• connection elements is accompanied by thermal reaction, the temperature should not be too high, otherwise the probability of getting burned during the operation;
• Cement should have good compatibility with bone tissue, otherwise there will be rejection of the material;
• contrast to track through the filling roentgen vertebra. For this purpose, a special bone cement added contrast agent (usually barium sulphate);
• possess antibacterial properties. This minimizes the risk of inflammation due to the effects of infection. For this purpose, an antibiotic is added to the material (gentamicin or vancomycin);
• to provide the desired strength of the vertebra.

When mixing the constituent elements of the exact proportions to be observed, they are shown on the accompanying instructions and depend on the components.

Preparation for surgery

Before performing vertebroplasty is necessary to complete the preparation.

It includes the following procedures:

• medical examination and specimen collection. Performed to exclude the presence of inflammatory and infectious diseases;
• radiographic examination. This procedure allows to identify a violation of the spine and overall health of bone;
• MR. Can more accurately determine the complexity of damage, the presence of deformation and the surgical site;
• CT scan. Appointed by the destruction of the vertebrae due to the development of cancers;
• Ultrasound and ECG. To identify pathologies of cardiovascular system;
• avoided taking medication. Aspirin, it thins the blood and can cause bleeding. Also excluded anti-inflammatory drugs have been in interaction with anesthesia they disrupt the formation of platelets, which also increases the risk of bleeding;
• for 2 days before and 3 days after the needs antibiotics to reduce the risk of complications;
• determine whether there is an allergic reaction on the bone cement components and anesthesia;
• for 12 hours prior to surgery eliminated the use of food for 6 hours excluded fluid intake. Otherwise, under the influence of anesthetics gag reflex may occur that affect the carrying out of the procedure.

This test is also necessary to avoid drug treatment pathology. Sometimes, sedatives 5 days prior to surgery can be assigned with high anxiety.

Percutaneous vertebroplasty: stages of the operation

vertebroplasty spine (the price is negotiated before the procedure, and made partial payment) is mainly produced using local anesthesia, in rare cases, applied general. Additionally, the introduction of sedatives.

Procedural steps:

1. The patient is placed on his stomach on a special table. To avoid accidental movements and special rollers are used for the convenience of the procedure. They are placed under the body of the patient, depending on the area of ​​operation.
2. Determined the exact location of needle insertion, which is treated with an antiseptic agent.
3. The selected area is anesthetized local anesthesia. When it begins to operate, the surgeon inserts a special needle to the designated location (it is determined by hardware inspection).
4. The angle of insertion of the needle is determined by conducting the surgical site. Introduced it to its full length inside a damaged vertebra. Using the apparatus is determined when the needle has reached the desired mark.
5. Thereafter, the surgeon performs the mixing of bone cement.
6. When the material is ready, it is placed in a special container with a piston which is connected to the needle entered.
7. Next is the gradual filling of the vertebra medical cement. The procedure is controlled by a mini camera and X-ray equipment. Care should be taken that the filling is uniform and at a certain rate until the material is hardened. And also need to eliminate material leakage outside the vertebra. If cement leakage occurs, the operation is stopped immediately. The specialist selects a different method of restoring the vertebra.
8. After the end of filling, the vessel is disconnected from the piston and the needle is removed. The puncture re-treated with antiseptic. Next top attached medical plaster. Seams in this operation is not required. Puncture 5 mm diameter quick heals on its own.

Vertebroplasty, since the beginning of placing the patient and to the sticking plaster, takes 45-60 minutes. The patient can get up from the table no sooner than 2 hours after the end of the procedure. It is necessary to wait for complete solidification of the material, and when the anesthesia wears off, the surgeon can verify the accuracy of the operation and elimination of complications.

Observation of the patients, on average lasts 6 hours. If there are complications factors a patient may be under the supervision of a specialist to 3 days. Also, the surgeon may prescribe for prevention of wearing of the shroud (as protection of complications). After discharge, you need additional inspection on the quality of the filling of the damaged vertebra.

Rehabilitation after vertebroplasty

After carrying out vertebroplasty body recovers quickly (if not vertebra damage associated with spinal damage). The patient should be within days bed rest.

For the treatment of pain at the injection needle can be applied ice. When pronounced pain, with doctor's permission, used painkillers. As healing pain tested.

Recommendations for a speedy recovery:

• do not take a bath or go to the bath and sauna until the wound has not completely healed;
• wear a bandage, if it is assigned to a specialist;
• if not eliminated root cause pathology, it is necessary to eliminate to avoid repetition vertebral injury;
• in the early days try to spend less time standing and sitting;
• if there is pain at the site of the operation, it is necessary to take a horizontal position;
• can not lift weights and to resort to heavy exercise until the body is not completely back to normal;
• perform daily exercises, the treating specialist. Its complexity will increase gradually. Thus, the muscles more quickly come to the tone.

Subject to all the conditions of the restoration takes no more than 2 months, an average of 20 days.

Pain and complications of vertebroplasty

vertebroplasty spine (the price can be changed, if any pathology due to medical negligence), sometimes accompanied by development of complications if the procedure is carried out illiterate specialist or mistakes were made by the patient during the period rehabilitation.

Possible side effects:

• getting an infection in the wound through a needle or with bone cement;
• leakage of material from the vertebra, this defect is accompanied by pain and restriction of movement;
• an allergic reaction to ingredients or anesthesia. Before the operation, you need to complete a survey on allergies, otherwise the procedure can be fatal;
• the development of inflammation of the tissues of the spine;
• extensive hematoma formation at the site of the needle, due to injury to the vessel;
• violation of the blood supply to the spine or nerve endings;
• lung injury needle during its introduction incorrectly.

If complications developed by the doctor's fault, then it is necessary to eliminate the examination and treatment in another clinic.

The cost of operations in Moscow and St. Petersburg clinics

The price of vertebroplasty depends on the following components:

• Spent area damaged vertebra;
• the severity of damage;
• number of damaged vertebrae;
• qualifications of the surgeon;
• the cost we spent materials;
• area of ​​operations;
• klassnost clinic.

1. In Moscow, the price range is - 30000-80000 rubles .;
2. In St. Petersburg - 19000-100000 rubles.

If the patient has a difficult financial situation, the surgeon's services can be paid using a medical insurance policy (not in all clinics), the material used is paid independently.

Vertebroplasty can be carried out abroad. It is recommended to pre-complete examination in Russia. Clarify the price and need to be contracted before the trip to the clinic. With the proper carrying out of operation and compliance with all conditions in the recovery period, the functioning of the spine is completely restored.

Author: Svetlana Kotlyachkova

Registration of the article: Mila Friedan

Video of the spine verteboplastike

What is vertebroplasty and contraindications to it: