Vertebroplasty Surgery in Delhi at Max Hospital

Vertebroplasty is a surgical procedure performed to treat compression fractures of the spine. In this procedure, bone cement is used at the site of fractured vertebrae, which hardens up over a period of time, thereby stabilizing the fracture and providing adequate support to the spine. The main aim of this procedure is to relieve the patient of pain and discomfort along with restoration of mobility and resumption of activities in daily life.

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Vertebroplasty surgery is most commonly used for people who were unable to benefit much from the conservative approach of treatment like bed rest, medications, lumbosacral support, braces and physical therapy. Vertebroplasty surgery procedure is recommended by the doctors even if any complication arises due to any fractured vertebrae like deep vein thrombosis, severe osteoporosis, and respiratory issues.

Preparation before vertebroplasty surgery

• The doctor asks about the brief medical history of the patient, followed by a physical examination to determine the exact location and nature of the pain. Apart from this, the doctor suggests imaging tests like CT-scan or MRI scans
• The patient is supposed to inform the doctor about all the medications and over-the-counter drugs
• Inform the doctor about any history of bleeding disorders
• Inform the doctor about the intake of any anti-coagulant like Aspirin
• The doctor instructs the patient not to wear any jewellery during the procedure
• It is always recommended to wear loose-fitting and comfortable clothing for undergoing this procedure
• Avoid eating meals at least 3 to 4 hours before the procedure

During the vertebroplasty surgery procedure

• The patient lies upside down on the table, and the doctor cleans the area of the spine and makes it ready for the procedure. Afterwards, general anaesthesia is administered on the area of the spine that has been marked.
• A needle is inserted through the skin surface and into the spinal vertebrae. Real-time x-ray images are used to guide the doctor to the correct area in your lower back and make sure to protect the body from radiation.
• Bone cement is slowly injected into the vertebra, and on the basis of how the cement enters the vertebra, the doctor might insert a second injection to fill it completely.

After the vertebroplasty surgery procedure

• The patient is made to lie on their back for a couple of hours by the time the cement hardens.
• The patient will likely remain in an observation room for an additional 1 to 2 hours.
• The patient may experience pain relief almost immediately after the procedure, but it might take up to 3 to 4 days. The doctor can provide the patient with over-the-counter analgesics for temporary relief.
• The doctor will monitor the condition and assess the pain and check for any possible complications.
• The patient may need to continue wearing a back brace, but it’s usually unnecessary.
• The patient will come back for a follow-up appointment in a few weeks.

Risks factors of vertebroplasty surgery

• Vertebroplasty surgery is generally well-tolerated, with complications usually minor and occurring at a rate of 1% to 3%. But patients can face risks such as:
• Cement leakage, no bleeding as it is done by a needle.

Side effects and Complications after vertebroplasty surgery

The complications of vertebroplasty can be classified as mild, moderate and severe.

Mild complications of Vertebroplasty

• Temporary increase in pain post vertebroplasty
• Transient arterial hypotension
• Bone cement leakage into the intervertebral disc space
• Increased risk for new fractures

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Moderate complications of Vertebroplasty

• Infection
• Leakage of bone cement into the areas of epidural or foraminal space
• Misplaced needle in the tract

Severe complications of Vertebroplasty

• Leakage of bone cement into the paravertebral veins
• Pulmonary embolism
• Cardiac perforation
• Cerebral embolism
• Liquid consistency of the bone cement
• Radicular pain

Techniques to minimize complications

• Selecting a transpedicular route in the lumbar spine and costovertebral junction in the thoracic spine.
• Avoiding a cortical breach whenever possible.
• Optimizing opacification of cement by following the manufacturer’s recommendations and not altering recommended proportions of powder polymer and liquid polymer.
• Defining optimal cement viscosity before injection. If cement leakage occurs, cessation of the procedure is recommended.

Benefits of vertebroplasty surgery

Vertebroplasty usually helps to provide pain relief and improved mobility within 48 hours of the procedure. In some cases, however, the patient may experience pain relief instantly. Most patients are very satisfied with the results, with many returning to most of the usual activities they were performing before the vertebral fracture.

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Dr. Arun Saroha

Specialist:      Neurosurgeon / Spinal Disorders
Experience:   20+ years of experience
Hospital:        Max Hospital Saket

About Doctor:

• Arun Saroha is the famous Neurosurgeon in Max Super Specialty Hospital, Saket.
• Arun Saroha has an expertise in treating brain & spine disorders etc With more than 20 years of experience in Neurosurgery.
• He has performed more than 8000 surgeries

Dr. Bipin Walia

Specialist:    Spine Surgeon
Experience: 30+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr Bipin S Walia is one of the most renowned & experienced surgeon in the field of neurosurgery in India.
• Dr Bipin S Walia has over 30+ years of experience & is one of the few neurosurgeons in India who is specifically trained and experienced in spine surgeries.
• Dr Bipin S Walia has done his Masters in Surgery & MBBS from the Armed Force Medical College, Pune. Following which he pursued his Mch from the prestigious All India Institute of Medical Sciences, New Delhi.

Dr. Amitabh Goel

Specialist:    Spine Surgeon
Experience: 26+years of experience
Hospital:      Max Hospital Saket 

About Doctor:

• Renowned surgeon with an extensive experience of 26+ years of operating on all brain and complex spinal surgeries.
• Specializes in Complex Spinal Surgery including cranio vertebral junction surgery and minimally invasive spinal surgery (MISS), endoscopic pituitary & other tumour surgery.
• Interests are Neuromuscular Diseases, Vascular Brain Diseases, Neurophysiology, Movement Disorder and Neurological dysfunction etc.

Dr. Prakash Singh

Specialist:     Spine Surgeon
Experience:  38+ years of experience
Hospital:       Max Hospital Saket  

About Doctor:

• Presently working as the Head of Spine Surgery department at Max Smart Super Specialty Hospital, Saket City, New Delhi.
• Performed all kinds of cranial and spinal surgeries such as Microsurgical excision of brain tumours ,Transspenoidal pituitary surgery, Intracranial aneurysm surgery, Neuroendoscopic surgery, Microdiscectomy.
• Expertise includes Spinal Tumors, Spinal Stabilization, Minimally Invasive Spine Surgery, Cervical Disc Replacement and Kyphoplasty with excellent outcomes.

Get Opinion From India’s Best Doctors

We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
• Arranging a call with the doctor (if the case required)
• Visa assistance, Providing Visa Invitation Letter (VIL)
• Providing full guidance how to get Visa from your country
• Providing total cost including treatment, air tickets, accommodation, and food
• Assitance to book flight ticket from your country
• Arranging airport pick up/ drop
• Providing professional language interpreter
• Booking accommodation and guest house as per your budget/ prefrence
• Providing help in money exchanging
• Providing free local sim card
• Arranging video consultation with specialist doctor if case requires

Max Hospital Saket Delhi

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

About Hospital:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.