http://www.medilaw.tv Lumbar Spine Vertebroplasty pain management 3D animations. This movie illustrates the technique for performing a lumbar vertebroplasty. This movie shows patient positioning, skin preparation, local anesthetic injection, needle introduction into the collapsed vertebral body, cement injection, and finally wound dressing.
A Vertebroplasty is a procedure that stabilizes a fractured vertebral body. It involves the injection of a synthetic material into the vertebral body, in order to immobilize the bone fragments and reduce pain. Vertebroplasty does not restore the lost height of the compressed vertebra. The procedure is mildly painful for most people, but they usually experience immediate overall pain reduction afterwards.
INDICATIONS
Vertebroplasties are used when severe pain and immobility caused by a fractured vertebral body lasts more than six weeks, although they can be done earlier if the pain is uncontrollable. These fractures usually occur due to osteoporosis, but can also be due to metabolic disorders, destructive tumors or certain medications. A biopsy is usually done during the vertebroplasty to check for these diseases. Once a vertebral osteoporotic fracture occurs, there is a five-fold increased risk of fracture in adjacent vertebrae. Vertebroplasty is sometimes used on these adjacent vertebra to prevent them fracturing.
ALTERNATIVES
The alternative treatments for vertebral fractures are
- bed rest
- pain relief
- hospitalization for pain management
- back braces,
- or spinal fusion surgery with rods and screws.
Lumbar Spine Vertebroplasty pain management 3D animations
GOALS
The goals of a vertebroplasty are to stabilize a fractured vertebral body and eliminate the fracture pain.
TECHNIQUE
You may be lying on your front for up to two hours during the preparation phase. An intravenous line is used for partial sedation and pain control. The skin on your back will be cleaned. A small needle will be used to inject some local anesthetic under the skin over the fracture site. This will sting for a few seconds before causing numbness. The vertebroplasty needle is inserted from behind and slightly to one side into the fractured vertebra, using X-rays to assist correct placement. Contrast material may be injected to check the positioning of the needle. Synthetic material is then injected into the vertebra to immobilize the bone fragments. Then the needle is removed. Occasionally material will need to be injected from the opposite side as well. The synthetic material is injected as a liquid, and hardens over 10-20 minutes. You may feel some warmth as the material hardens. The entire procedure takes about 40 minutes per vertebra treated. A band-aid is usually all that is needed on the skin. Lumbar Spine Vertebroplasty pain management 3D animations
What software is used for this animation?
lordcc 5 months ago