Percutaneous Vertebroplasty | Step-by-Step Technique Under Fluoroscopy | Pain Management Procedure

Video Credits:
Procedure Performed by: Dr. Gautam Das MD, FIPP
Video Edited by: Dr. Sandeep Margan DNB, FIPM

Percutaneous Vertebroplasty – Procedural Demonstration

This video demonstrates the step-by-step technique of percutaneous vertebroplasty performed under continuous fluoroscopic guidance for the management of painful vertebral compression fractures.

Key Highlights of the Video

Patient positioning and sterile preparation

Pedicle/transpedicular needle placement under C-arm guidance

Cement preparation: mixing polymethyl methacrylate (PMMA) powder with liquid monomer

Optimal cement viscosity and timing before injection

Controlled cement injection in small aliquots under continuous fluoroscopy

Importance of monitoring cement spread and preventing leakage

Needle removal after cement polymerization using slow screwing technique

Final fluoroscopic confirmation

Clinical Indications

Osteoporotic vertebral compression fractures

Painful vertebral metastasis

Vertebral hemangioma (selected cases)

Educational Purpose

This video is intended purely for medical education and professional training. It aims to help pain physicians, anesthesiologists, orthopedic surgeons, and trainees understand the technical nuances, safety principles, and procedural workflow of vertebroplasty.

⚠️ Disclaimer:
This video is not a substitute for formal training. Procedures should only be performed by qualified clinicians with appropriate expertise and institutional protocols.

Видео Percutaneous Vertebroplasty | Step-by-Step Technique Under Fluoroscopy | Pain Management Procedure канала Dr. Sandeep Margan