Follow all the directions you're given for not eating or drinking before the procedure.

Tell your healthcare provider what medicines you take. This includes prescription and over-the-counter medicines, herbs, vitamins, or other supplements.

Your healthcare provider may ask you to stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or blood thinners before your procedure.

Tell your healthcare provider if you're pregnant, or if you think you could be pregnant.

Tell your healthcare provider if you're allergic to seafood, iodine, contrast medium (X-ray dye), or other medicines.

Your blood will be taken to do kidney function tests and to determine if your blood clots normally.

You will change into a hospital gown and lie face down on an X-ray table.

An IV (intravenous) line is started to give you fluids and antibiotics to prevent infection. You may be given medicine through the IV to help you relax and make you feel sleepy.

After your back is shaved (if needed) and cleansed with an antiseptic solution, a local anesthetic will be injected into your back to numb the area. Then, a needle is inserted into your back. You may feel a tapping sensation during the procedure as the needle advances into the bone.

A contrast medium will be injected into the area. This helps show the needle and vertebrae clearly on X-rays. Using video X-ray images as a guide, the healthcare provider moves the needle to the vertebra to be treated.

A cement-like plastic material is injected through the needle into the vertebra. The procedure may be repeated on other vertebrae if needed.

During the procedure, you will be asked questions about your comfort. It is important for you to be able to tell your healthcare provider whether you are feeling any pain.

The entire procedure may take 30 minutes to several hours, depending on how many vertebrae are being treated.

Last steps:

You'll be asked to lie flat for 1 hour to 2 hours after the procedure while the cement hardens.

You'll most likely be able to go home in a few hours. Or you may need to stay in the hospital overnight.

You may feel an ache at the puncture sites for the next 24 to 48 hours. To ease this pain, use ice and pain medicines as directed.

Drink plenty of water to help flush the contrast medium from your system.

You may be able to go back to your normal light activities in a day or so. You may have to wait a few days or weeks for more vigorous activities.

If you take blood thinners, check with your healthcare provider about restarting this medicine the day after your procedure.

Your healthcare provider may recommend a follow-up visit to assess your progress. They may do a physical checkup, imaging exam(s), and blood tests.

Inform your healthcare provider immediately if you notice any side effects or changes.

Bleeding

Infection

Rib or vertebral fracture

Irritation of nearby nerves

Pain gets worse

Problems due to contrast medium, including allergic reaction or kidney damage

The surgical cement leaks, needing surgery to remove it (very rare)

Spinal cord or nerve root damage (very rare)

Blood clots in the lungs (in rare cases, cement can travel to the lungs)