What is the role of anesthesia in the performance of percutaneous vertebroplasty and kyphoplasty?

Updated: Jul 29, 2020
  • Author: Jeffrey P Kochan, MD; Chief Editor: Felix S Chew, MD, MBA, MEd  more...
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Answer

Answer

Vertebroplasty is not painful and requires only mild sedation and analgesia.

Local, deep, periosteal and endosteal anesthesia is provided at the outset.

In selected patients, a preprocedural epidural block can further reduce procedural pain.

Occasionally, patients report pain when the trocar reaches the fracture fragments and when the injection of acrylic cement is initiated. Endosteal anesthesia appears to reduce the intensity of the pain, it but does not eliminate the pain entirely.


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