Percutaneous vertebroplasty in Jaipur for painful vertebral compression fractures, selected malignant vertebral lesions and osteoporosis-related spine pain at JPRC.
Percutaneous vertebroplasty (PVP) is a minimally invasive, image-guided stabilization procedure used for painful vertebral compression fractures that do not respond to conservative treatment. PMMA bone cement is injected directly into the fractured vertebral body to improve structural stability and reduce pain.
At JPRC Neuro Spine Centre, selection is based on a clearly confirmed fracture, focal pain matching the vertebral level, imaging review and safety factors such as infection, bleeding risk and spinal cord compression.
PVP is reserved for carefully selected patients. The aim is immediate stabilization and pain relief without unnecessary open surgery.
After cement hardens, the patient is monitored briefly for pain, movement and neurological status. Most suitable patients go home the same day with instructions to resume activity gradually.
The workflow moves from positioning and fluoroscopic targeting to needle placement, cement preparation, controlled injection and final trocar withdrawal.
PVP is performed in a sterile operating room using continuous high-resolution fluoroscopy or CT guidance so the needle path and cement delivery remain precise.
The patient lies prone on a radiolucent operating table with chest rolls to support positioning. The procedure is typically done with monitored anesthesia care and local anesthetic so the patient remains comfortable and neurological feedback can be monitored.
True AP and lateral fluoroscopic views are aligned until the endplates are crisp and the pedicles are symmetric. This maps the transpedicular route to the target vertebra.
A bone biopsy needle or trocar is advanced through the pedicle under image guidance. On lateral views, the tip is directed into the anterior third of the vertebral body while avoiding the canal and medial wall.
PMMA cement is mixed with a radiopaque opacifier and allowed to become highly viscous. It is injected slowly under continuous visualization, with immediate stopping if cement approaches the posterior wall, epidural space or venous plexus.
The core of PVP is careful cement delivery. The goal is a stable fill with minimal leakage risk and immediate support to the fractured vertebra.
For carefully selected patients, PVP can rapidly stabilize a painful vertebral fracture and make movement easier again.
These signs may indicate a serious problem and should be evaluated urgently instead of waiting for routine consultation.
Percutaneous vertebroplasty is a minimally invasive, image-guided procedure in which PMMA bone cement is injected into a painful fractured vertebra to improve stability and reduce pain.
Selected patients with painful osteoporotic vertebral compression fractures, certain malignant vertebral lesions, vertebral hemangioma or Kummel disease may benefit when conservative treatment is not enough and there is no major cord compression or active infection.
The procedure is done under continuous fluoroscopic or CT guidance. Cement is prepared to a viscous consistency and injected slowly, with injection stopped immediately if there is any sign of leakage toward the spinal canal or vessels.
Many suitable patients feel pain relief within 2 to 24 hours and can go home the same day after observation, neurological checks and brief recovery monitoring.
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