is a minimally invasive surgical technique to treat vertebral compression
fractures caused by osteoporosis.
Osteoporosis is a
debilitating bone disease that results in a reduction of bone mass
Predisposing the patient to an increased risk of vertebral and other fractures.
The fractures vertebral compression fractures are the most common but
Treated in the past.
SHOULD WE TREAT VERTEBRAL COMPRESSION FRACTURES?
fractures ultimately leads to spinal deformity and more fractures. Deformity
and chronic pain leads to decreased function and mobility. Decreased mobility
leads to more bone loss. Deformity leads to a decreased lung function.
In time the patient will experience a loss of appetite, sleep disorders,
increased depression and social dependence on others, diminished social
roles and self esteem ect.
Relief of pain
Restoration of anatomy
Prevention of more fractures
DO I KNOW I HAVE A FRACTURE?
If you experience
sudden acute pain after a minor fall or other minor incident.
Consult your doctor and ask him to take an x-ray of your spine. The best
way, however, to diagnose a fresh fracture of your spine is to do a MRI
study with STIR weighted images. It is important to do this sooner than
later because the fracture can become untreatable very quickly.
CONSERVATIVE TREATMENT OF A FRACTURE STILL INDICATED?
Yes. With weekly follow
up your doctor can determine whether the fracture progresses to more collapse
by taking serial weekly x-rays. If there is no progression the fracture
can be treated conservatively. When the fracture is healed your doctor
should start preventative treatment. Consult him about this.
To take away the pain
caused by the fracture.
To internally splint the fracture.
To prevent deformity or to restore deformity depending on the age of the
To increase mobility and preventing more bone loss caused by bed rest.
To prevent the use of pain and anti-inflammatory medications and the use
of external splints.
IS KYPHOPLASTY DONE?
Kyphoplasty is done
under a light general anaesthesia. Under sterile conditions and with x-ray
positioning in place, a needle is passed through skin into the fractured
vertebral body on both sides. After several more steps to ensure correct
placement of the working channels two inflatable balloons is passed inside
the vertebral body into the fracture. The balloons are slowly inflated
to try and restore height loss caused by the fracture and also to create
a bone void. The balloons are then removed and through the same working
channels bone cement is introduced in the void created by the balloons.
The cement is introduced slowly and in a low flow state so that the surgeon
has control over the flow of the cement. The instruments is removed and
two stitches per level applied. It takes 30-60 minutes per level. After
surgery the patient may sit and walk with no support and usually leaves
the hospital the next morning. Follow up is necessary to remove stitches
and to start preventative treatment. If you develop severe pain any time
after surgery you have a new fracture until proven otherwise.
needle is passed into the fractured vertebral body
Inflatable balloons is passed inside the vertebral body
is introduced in the void
of vertebral body
The company Kyphon
makes sure that surgeons are fully trained and capable to do this delicate
and dangerous procedure. Surgeons that are not trained will not get the
instruments to do it. There are about 50 trained surgeons in the country
accredited to do the procedure. No complications to date make it a safe
procedure in the right hands. For more information please visit www.kyphon.com
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