HNY Policy and Pathway Repository - Humber

To allow all relevant information to be available for discussion at triage. To be accessed when a vertebroplasty procedure may be beneficial to the patient.

No Red Flag Symptoms Listed

No Guidelines on Management Listed 

Do Not Refer

• Clinical details do not fit the referral criteria.
• Sedation not possible due to patient co-morbidities
• If the patient is unable to lie prone for 30 minutes to 1 hour
• Low pain VAS score or not related to fracture site - <5 with analgesia or <7 without analgesia
• Spinal Fracture(s) older than 12 weeks

Referral Criteria

Patient must have had an MRI with STIR within the last 6 weeks prior to being referred to the triage. If MRI is incompatible, a whole spine CT will need to be performed prior to referral to the triage.

Referrals

Referrals to be sent to: hyp-tr.RadiologyMDT@nhs.net, patient will then be added to the triage agenda for discussion.

The Vertebroplasty Referral Form on ARDENS must be used as this asks for all the relevant information to make a decision at MDT.

Percutaneous Vertebroplasty