Vertebroplasty

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Procedure Description

Vertebroplasty is a minimally invasive surgical procedure used to treat vertebral compression fractures, which are often caused by osteoporosis, trauma, or cancerous lesions in the spine. The procedure involves injecting a special type of bone cement into the fractured vertebra to stabilize it, relieve pain, and prevent further collapse. The cement hardens quickly, effectively "gluing" the fractured pieces together and restoring the integrity of the vertebral column.

During the vertebroplasty procedure, a needle is inserted through the skin and guided into the fractured vertebra. Under imaging guidance, typically fluoroscopy or CT scans, the bone cement is injected into the affected area. This cement rapidly sets, often within minutes, providing immediate structural support to the weakened vertebra and alleviating pain.

The procedure is particularly beneficial for patients who experience debilitating pain from vertebral fractures and have not found relief from conservative treatments like bed rest, pain medications, or back braces. Vertebroplasty offers a viable solution to improve mobility, enhance the quality of life, and reduce the risk of further spinal collapse.

Procedure Duration

Vertebroplasty is usually performed as an outpatient procedure, although it may require an overnight stay in some cases. The entire process generally takes about 1 to 2 hours, depending on the number of vertebrae being treated. Here's a breakdown of the procedure phases:

  • Preparation Phase: The patient is positioned face down on a specialized surgical table, and local or general anesthesia is administered. Imaging equipment is then set up to guide the precise insertion of the needle into the vertebra.
  • Procedure Phase: Using fluoroscopy or CT scans for guidance, the surgeon inserts a needle through the skin and into the fractured vertebra. The cement is injected into the vertebra under imaging guidance to ensure proper placement. Once in place, the cement hardens within minutes, providing immediate structural support.
  • Recovery Phase: After the procedure, the patient is observed for a few hours to ensure there are no complications. Most patients experience significant pain relief within 24-48 hours. Recovery time is typically short, with many patients resuming light daily activities within a few days, although it may take a couple of weeks for full recovery and return to normal activities.

Patients are advised to avoid strenuous activities and heavy lifting for a certain period following vertebroplasty, as recommended by their healthcare provider. Physical therapy and exercises to strengthen the back muscles and improve posture may be advised to support recovery.

Benefits of Vertebroplasty

  • Rapid Pain Relief: Most patients experience a significant reduction in pain within 24-48 hours.
  • Minimally Invasive: Vertebroplasty is performed through a small incision, reducing the risk of complications and speeding up recovery.
  • Improved Mobility: Restoring the structural integrity of the vertebra can significantly improve a patient's ability to move and perform daily activities.
  • Preventing Further Collapse: By stabilizing the fractured vertebra, vertebroplasty can prevent further vertebral collapse and deformity.
  • Short Procedure Time & Quick Recovery: The procedure usually takes 1-2 hours and allows for rapid recovery, with many patients resuming normal activities within days.

Potential Destinations for Vertebroplasty

  • India: Known for its cost-effective and high-quality healthcare, India has many medical centers with internationally trained orthopedic surgeons and state-of-the-art facilities. The country’s reputation for orthopedic and spinal care attracts many patients seeking vertebroplasty at a fraction of the cost in other countries.
  • Turkey: Turkey’s advanced medical infrastructure and well-established medical tourism sector make it a popular destination for spinal procedures. The country's hospitals are equipped with modern technology, and many have internationally accredited facilities offering comprehensive care.
  • Mexico: With its proximity to the United States and Canada, Mexico is a convenient destination for medical tourists seeking affordable spinal treatments like vertebroplasty. Hospitals in Mexico are known for their well-trained medical staff, short waiting times, and high standards of care.
  • Thailand: As a global leader in medical tourism, Thailand offers high-quality healthcare services and experienced spinal surgeons. The country is known for its medical facilities that cater specifically to international patients, offering comprehensive care, rehabilitation services, and excellent patient experience.
  • Poland: Poland’s growing reputation as a destination for medical tourism is well-deserved, especially for orthopedic and spinal procedures. The country's hospitals offer advanced spinal treatments and rehabilitation at competitive prices, along with highly skilled medical professionals.

Risks & Considerations of Vertebroplasty

  • Cement Leakage: One of the primary risks of vertebroplasty is the leakage of bone cement from the vertebra, which can potentially affect surrounding tissues or nerves.
  • Infection: Although rare, any surgical procedure poses a risk of infection at the incision site or within the vertebra.
  • Nerve or Spinal Cord Injury: The procedure involves inserting a needle near the spine, which could potentially cause nerve damage or injury to the spinal cord if not performed accurately.
  • Allergic Reaction: Some patients may have an allergic reaction to the cement or medications used during the procedure.
  • Not Suitable for All Fractures: Vertebroplasty is most effective for specific types of vertebral fractures. It may not be recommended for patients with certain spinal conditions or those with fractures not caused by osteoporosis.

How to Choose the Right Doctor and Hospital for Vertebroplasty

When considering vertebroplasty abroad, it's essential to select a qualified and experienced spine specialist. Look for a surgeon with specialized training in minimally invasive spinal procedures and a high volume of successful vertebroplasty cases. Verify the surgeon's credentials, experience, and any reviews or patient outcomes available.

Choosing the right hospital is equally important. Opt for medical facilities that have accreditation from recognized international organizations, advanced imaging and surgical equipment, and comprehensive patient services, including pre-operative assessments, post-operative care, and follow-up.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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