Vertebroplasty

Step by step

1. 01

   Preparation and imaging

   The patient lies prone, usually under sedation and local anaesthesia. The fractured level is located on fluoroscopy in AP and lateral views.

   Fluoroscopy: AP + lateral

   
2. 02

   Transpedicular access

   Through a small skin incision, the cannula is passed through the pedicle into the anterior-middle vertebral body. Both sides are used when needed.

   Cannula Ø 2.3-3.0 mm or needle 11G / 13G

   BLUEPECKER PLUS / LIBRA BCD KITOne of these options is used, at the physician's choice.

   

   
3. 03

   Cement preparation

   PMMA cement is mixed under vacuum. It is allowed to reach a toothpaste-like consistency before injection; runny cement raises the leakage risk.

   Mixing 60 s, waiting 90 s (23°C)

   MIXMAX

   
4. 04

   Controlled injection

   Cement is given slowly and incrementally under continuous lateral imaging. Injection stops if it approaches the posterior wall, a foramen or the veins.

   MIXMAX cement working time 470 s (23°C)

   BLUEPECKER PLUS / LIBRA BCD KITOne of these options is used, at the physician's choice.

5. 05

   Check and closure

   Cement distribution is checked on imaging and the cannula is withdrawn. No sutures are needed; the procedure usually takes under an hour.

   MIXMAX cement setting 110 s (23°C)

   

A general workflow is shown. Practice varies by physician and patient.