MIPSI or Minimally invasive pain and spine interventions is a broad term which encompasses all the Non-invasive and minimally invasive interventions done by the interventional spine and pain physicians for myriad of conditions right from Musculo-skeletal disorders like back pain, neck pain, knee pain etc.
What is Vertebroplasty/ Kyphoplasty ?
Vertebral compression fractures are one of the causes for the Severe acute onset Back pain. These fractures occur secondary to either injury, Osteoporosis or Metastatic lesions in the vertebrae.
Vertebroplasty is a minimally invasive procedure targeted to stabilize the fractured segment and reduce pain.
Vertebroplasty involves introduction of 1 or 2 needles into the fractured vertebral body from posterior side and then injection of a special cement into the fissures. This cement hardens after some time and hold the fractured segments together.
If there is significant reduction in the height of the vertebral body due to the fracture, we do a slight modification in this procedure which is then called as Kyphoplasty. Kyphoplasty involves first placement of a balloon in the fractured vertebral body through the needles and then injection of the cement into the balloon which not only stabilizes the fractured segment but also augments the vertebral body height.
This procedure is a minimally invasive procedure and is done under Local anaesthesia.
- Osteoporotic compression fractures
- Traumatic vertebral body fractures
- Vertebral body metastasis
How Vertebroplasty helps relief pain?
Vertebroplasty helps relief pain due to vertebral body fractures by different mechanisms:
- Stabilization of the fractured segment as injected cement prevents abnormal movements of the fractured segments against each other.
- Injected cement initiates an exothermic reaction at the local site which ablates the abnormal nerves present around the fracture and thus reduces pain.
- Augmentation of the vertebral body height reduces the undue stress on the posterior elements of the vertebra thus reducing pain.
After how much time will I feel the difference?
Patient can start appreciating the effect within 3-4 days. It has been seen that patient starts walking within 2-3 days which they are not able to do previously due to pain.
How many times this procedure has to be repeated?
Will I require hospitalization for this procedure?
Yes. Patient needs to be observed for a period of 24 hours post-procedure. Moreover, post-procedure, physiotherapy support is given to the patients to help them get back to their feet at the earliest.