Kyphoplasty

Overview

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Kyphoplasty is a minimally invasive surgical procedure aimed at treating painful vertebral compression fractures (VCFs), commonly caused by osteoporosis, trauma, or cancer. The procedure involves the insertion of a balloon-like device into the fractured vertebra, which is inflated to restore the vertebra’s height and relieve pressure on the spinal nerves. Following balloon inflation, bone cement is injected into the vertebra to stabilize it.

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How is Kyphoplasty done?

Pre-operative Assessment:
  • Medical history evaluation.
  • Physical examination.
  • Imaging studies (X-rays, MRI, or CT scans) to confirm the presence of a compression fracture.
Medications:
  • Discuss current medications with the doctor; blood thinners may need to be paused.
  • Patients may be advised to take pain medications prior to the procedure.
Informed Consent:
  • Discussion of risks, benefits, and alternatives to kyphoplasty.
  • Signing a consent form.
Fasting:
  • Patients are generally instructed to fast for several hours before the procedure.

Anesthesia:
  • The procedure is typically performed under local anesthesia with sedation, or general anesthesia, depending on the patient's health and preference.
Accessing the Vertebra:
  • A small incision is made in the skin over the fractured vertebra.
  • A special needle is inserted through the incision into the vertebra.
Balloon Inflation:
  • A balloon is introduced through the needle and inflated to restore the height of the fractured vertebra.
  • The balloon is then deflated and removed.
Cement Injection:
  • Bone cement (polymethylmethacrylate) is injected into the cavity created by the balloon.
  • The cement hardens within minutes, stabilizing the vertebra.
Closure:
  • The incision is closed with sutures or adhesive.

Although kyphoplasty is generally safe, potential complications include:
  • Infection at the incision site.
  • Bleeding.
  • Allergic reaction to the anesthesia or cement.
  • Leakage of cement into surrounding tissues (extravasation), which can lead to complications such as nerve compression or pulmonary embolism.
  • Persistent pain or new vertebral fractures.
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What are the benefits Kyphoplasty ?
  • Pain Relief: Most patients experience significant pain reduction shortly after the procedure.
  • Improved Mobility: Enhanced ability to perform daily activities and improved quality of life.
  • Vertebral Height Restoration: The procedure can restore height to the compressed vertebra, potentially reducing deformity.
  • Minimal Recovery Time: Patients often return home the same day and can resume normal activities within a few days.
Kyphoplasty is typically performed by specialists in:
  • Interventional radiology
  • Orthopedic surgery
  • Neurosurgery
  • Pain management
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Infrastructure & Facilities

  • Surgical Suite: A specialized operating room equipped for minimally invasive procedures.
  • Imaging Technology: Fluoroscopy or other imaging modalities are essential for real-time visualization during the procedure.
  • Post-operative Care Unit: Facilities for monitoring patients after the procedure.
  • Rehabilitation Services: Physical therapy or occupational therapy may be available to aid recovery.
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Conclusion

A skin biopsy is a valuable diagnostic tool that is generally safe and effective. By understanding the procedure, its benefits, and potential complications, patients can be better prepared and informed for their skin biopsy.

FAQs

Candidates typically include individuals with vertebral compression fractures due to osteoporosis, trauma, or tumors, especially if they experience significant pain or disability.

Kyphoplasty usually takes about 1 to 2 hours, depending on the number of vertebrae being treated.

Most patients can go home the same day and resume light activities within a few days. Full recovery may take a few weeks.

Many patients report significant pain relief and improved mobility after the procedure, with studies showing high satisfaction rates.

Yes, alternatives include conservative treatments like pain management, physical therapy, and, in some cases, vertebroplasty, which does not involve balloon inflation.

Yes, if further compression fractures occur, kyphoplasty can be performed on other vertebrae as needed.

This overview provides a detailed understanding of kyphoplasty, its procedure, benefits, and potential complications. If you have any specific questions or need further details, feel free to ask!

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