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 Vertebroplasty: Concrete Bond for Cracked Backs

What to Expect
and How to Prepare

Pre-Procedural Visit
Prior to vertebroplasty, the patient must be referred to the interventional neuroradiology team by a referring physician.  The patient will be called by the neurointerventional nurse or secretary to set up an appointment.  It is advisable that the patient bring with them appropriate imaging studies such as an x-ray, bone scan, CT, or MR of the spine, particularly if they are done in an outside institution.  During the consult visit, medical history will also be obtained and additional x-rays, CT scan, bone scan, or MR may be ordered prior to percutaneous vertebroplasty to determine the appropriateness of the procedure.  It is advisable that patients with osteoporosis continue their medical therapy of calcium and other supplements to help prevent further fractures.

Post-Procedural Visit
Following percutaneous vertebroplasty and before discharge from the hospital, the patient will be given telephone numbers to contact should the patient experience any problem after the procedure.  The following day, the neurointerventional team will contact the patient, usually by phone, to determine how the patient is doing.  A letter will be sent to the referring physician describing the procedure and the recommendations of the interventional neuroradiologist.  The patient's medical care will then be handled by the referring physician.

Vertebroplasty has the enormous potential to heal vertebral fractures.  The procedure is minimally invasive, safe and offers pain relief for most patients.

References
Erdem E, Angtuaco E, VanHemert R, Park J, Peterson L, Barlogie B: Vertebroplasty in the treatment of vertebral compression fractures as a result of multiple myeloma. Neuroradiology 45(1):S66, August 2003.

Erdem E, Angtuaco E, Peterson L, Barlogie B: Vertebroplasty; height restoration technique. Neuroradiology 45(1):S66, August 2003.

Physicians
Drs. Eren Erdem, Vivek Gupta, Rudy L. VanHemert, and Muhammad Yousaf are Interventional Radiologists at UAMS who perform vertebroplasty and other procedures.

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