Approximately
700,000 vertebral, or spinal bone, fractures occur
each year — usually in women over the age
of 60. Researchers estimate that at least 25 percent
of women and a somewhat smaller percentage of
men over the age of 50 will suffer one or more
spinal fractures. Younger people also suffer these
fractures, particularly those whose bones have
become fragile due to the long-term use of steroids
or other drugs to treat a variety of diseases
such as lupus, asthma and rheumatoid arthritis.
Of particular concern are spinal fractures caused
by a progressive weakening of the bone -- a condition
called osteoporosis. The pain and loss of movement
that often accompany bone fractures of the spine
are perhaps the most feared and debilitating side
effects of osteoporosis. For many people with
osteoporosis, a spinal fracture means severely
limited activity, constant pain and a serious
reduction in the quality of their lives.
Fractures
of the vertebrae have traditionally been much
more difficult to manage than broken bones in
the hip, wrist or elsewhere. These broken bones
can often be successfully treated with surgery.
But because surgery on the spine is extremely
difficult and risky, it has typically not been
used to treat vertebral fractures associated with
osteoporosis except as a last resort. Until recently,
reduced activity and pain medications, many of
which cause problematic side effects, or invasive
(and often unsuccessful) back surgery were virtually
the only treatments available. Today, however,
there is a safe, non-surgical interventional radiology
treatment called vertebroplasty (ver-TEE-bro-plasty)
that has been shown to be extremely effective
in reducing or eliminating the pain caused by
spinal fractures.
Vertebroplasty
is a pain treatment for vertebral compression
fractures that fail to respond to conventional
medical therapy, such as minimal or no pain relief
with analgesics or narcotic doses that are intolerable.
Vertebroplasty, a non-surgical treatment performed
using imaging guidance by interventional radiologists,
stabilizes the collapsed vertebra with the injection
of medical-grade bone cement into the spine. This
improves pain, and can prevent further collapse
of the vertebra, thereby preventing the height
loss and spine curvature commonly seen as a result
of osteoporosis. Vertebroplasty dramatically improves
back pain within hours of the procedure, provides
long-term pain relief and has a low complication
rate as demonstrated in multiple studies.