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What is Vertebral Compression Fractures? It is a condition in which the internal structure of the bones of the spine, weakened by osteoporosis, collapses under the pressure of the body’s weight and movement. These fractures can cause excruciating pain, restricted mobility, and the necessity for significant pain management and medications. What part of the spine is affected by these fractures? The spine is made up of a series of round bones called the vertebral bodies, which are stacked one above the other. The discs are cushions between each vertebral body. Each healthy vertebral body contains small, sturdy columns of bone (Figure A) that support even the most strenuous activity. As we age, osteoporosis thins these bony shafts, making them weak and brittle which increases the risk of internal collapse (Figure B). The bones can become so weak that they can collapse even under normal day-to-day conditions. When that happens, the support columns break and shift against one another, causing excruciating pain with even the smallest of movements.
Unlike the arm or leg, you can’t put a cast on your spine, so the healing process for this fracture is prolonged and very painful. The options are mostly bed rest and pain killers – both of which can lead to other problems in many patients. Major spinal surgery has been tried, but is dangerous and generally not very effective. What is the Vertebroplasty Procedure? Vertebroplasty is a simple procedure in which the doctor injects a permanent ‘cast’ into the collapsed bone itself. This not only strengthens and supports the bone; more importantly, it eliminates the pain of the fracture by firmly locking the fractured bony support columns in place. Since they no longer can shift against one another, the pain caused by that instability is gone. Performed as an outpatient treatment (day surgery), the patient lies on his/her stomach and a minor sedative is administered. Local anesthesia is used to numb the treatment area. Dr. Kirsch then puts a specially-designed needle through the skin and taps it directly into the bone. Through this needle he then injects a non-toxic liquid bone adhesive, which fills the space between the bone fragments (Figure C).
When the procedure is completed, Dr. Kirsch removes the needle and places a bandage over the insertion site. The adhesive hardens in minutes, and about 85% of patients are pain-free within three (3) hours; more than 90% are pain-free within two (2) days. Patients can resume normal activities the same or the next day. There is minimal or no scarring, bruising, or swelling. Virtually all (98%) of patients who have had this treatment say that they would recommend it to a friend or family member. Is Vertebroplasty covered by insurance? Vertebroplasty is covered by all major health insurance companies, including Medicare and Medicaid. Insurance companies determine coverage based on medical necessity. Dr. Kirsch and his specially-trained staff will handle most, if not all, of the interactions with your insurance carrier.
For a VERTEBROPLASTY brochure and/or consultation:
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