Understanding Minimally Invasive Percutaneous Vertebroplasty

  Percutaneous transluminal vertebroplasty (PVP) was first reported in 1987 and was initially tried for the treatment of invasive vertebral hemangiomas with definite results. This minimally invasive procedure is minimally invasive and has definite results.  Vertebroplasty is performed under local anesthesia with a puncture needle of the thickness of an ordinary ballpoint pen, which is used to puncture the target area of the diseased vertebral body in a suitable way to establish a channel to inject “bone cement” into the diseased vertebral body for treatment purposes.  What diseases can be treated with vertebroplasty and how effective is it? The main indications for vertebroplasty are as follows: 1. Vertebral compression fractures: mainly compression fractures caused by age-related osteoporosis, or vertebral compression fractures caused by trauma. These patients, in addition to painful torture of the injured vertebrae, need to be bedridden for about 3 months if conservative treatment is used, which affects work and study for the young and middle-aged injured, while for elderly patients, a series of complications related to long-term bed rest may occur, such as lung infection, further loss of bone calcium, bedsores, etc., and require long-term care by family members. For such patients, the treatment of vertebroplasty aims to relieve pain, strengthen the vertebral body, and get out of bed early, with immediate effect and rapid improvement in quality of life.  2.Metastatic malignant tumor or myeloma of the spine: these patients often have obvious pain symptoms, affecting daily life, and further development of the tumor will damage the integrity of the bony spinal canal, causing compression of the central nerve DD spinal cord in the spinal canal, leading to paralysis in serious cases, the purpose of treatment for these patients is not only to relieve pain symptoms and achieve pain-free survival, but also to kill the tumor tissue, strengthen the vertebral body, prevent further destruction of the vertebral body, protect the spinal cord, and prevent or improve the quality of life. further destruction, protect the spinal cord, and prevent or delay the occurrence of paraplegia. Compared with orthopedic open surgery, the advantages are minimally invasive, low cost and fast recovery (you can get out of bed the next day after surgery); compared with radiotherapy, the advantages are fast onset of pain relief and reinforcement of vertebral body (radiotherapy is relatively slow and cannot reinforce vertebral body), and patients can still undergo radiotherapy after vertebroplasty to consolidate the efficacy of both without conflict.  3, benign tumors of the spine, such as symptomatic vertebral hemangioma: relief of symptoms, prevention of vertebral fracture or further compression.  In conclusion, vertebroplasty is a less invasive and more effective treatment for the above-mentioned spine patients, which can significantly relieve pain and strengthen the vertebral body, and some patients can achieve immediate results; for tumor lesions, it can also kill the tumor and control its destructive growth.