How is the patient prepped and positioned for percutaneous vertebroplasty (PVP)?

Updated: Nov 12, 2019
  • Author: Gaurav Gupta, MD; Chief Editor: Justin A Siegal, MD  more...
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Answer

Answer

Procedure time can vary but ultimately lasts anywhere from 40 to 120 minutes.

  • Conscious sedation and local anesthesia are used in the majority of cases. Use of MAC anesthesia has also been described.

  • Prophylactic antibiotics such as cefazolinshould be considered.

  • Place the patient in the prone position.

  • Align posterior ribs to obtain a good lateral view.

  • On the anteroposterior (AP) view, find the obliquity that projects the pedicle over the upper outer third of the vertebral body. Mark this point.


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