A compression fracture or a break in one of your vertebra can be painful. It can also make it difficult to move freely. That’s because a break can cause bone fragments to rub against each other. Fortunately, there are a few surgical procedures that may help.
Kyphoplasty and vertebroplasty are minimally invasive procedures that are often performed together. Usually, they can be done without a hospital stay. In vertebroplasty, a doctor injects a cement mixture into the bone to give it strength. Kyphoplasty makes room for the mixture. In this procedure, a doctor inserts and inflates a balloon to create an opening for the mixture. The balloon is removed after the cement is injected. Kyphoplasty is sometimes referred to as balloon vertebroplasty.
Both of the procedures are more likely to be successful if done within two months of a fracture diagnosis. They can help relieve pain and improve mobility when other measures fail to provide relief.
Because kyphoplasty is a surgical procedure, your doctor will probably order some blood tests before the day of your surgery. Imaging tests such as X-Ray or magnetic resonance imaging (MRI) will help your surgeon see the area or areas that need repair.
In preparation for the procedure, an IV will be placed in your arm to deliver anesthesia. You may also receive pain and antinausea medications, as well as antibiotics to prevent infection. You’ll probably also be connected to heart, pulse, and blood pressure monitors.
For the procedure, you’ll lie down on your stomach. If necessary, the area in which the needle will be inserted will be shaved. The area will also be cleaned and sterilized. A local anesthetic may be injected in the same place.
First, a surgeon will insert a hollow needle (trocar) into your skin. With the aid of fluoroscopy, a type of X-ray, the surgeon will guide the needle through your muscles and into the correct position in your bone.
Next, an inflatable balloon will be inserted into the trocar. The balloon will then be inflated to create the space needed for the bone cement. Once the space has opened up, the mixture will be injected to fill it up. Imaging tests will help the surgeon confirm that the mixture is distributed properly. Once the cement is in place, the needle will be removed.
Stitches aren’t necessary, but the area will be bandaged. Finally, your IV and monitoring equipment will be removed.
If only one vertebra is being treated, kyphoplasty usually takes less than an hour.
Following the procedure, you’ll probably stay in the recovery room for a short time. You may be encouraged to get up and walk within an hour of the procedure. Some soreness is to be expected.
You may be able to go home later that day. However, you may need to stay in the hospital overnight for monitoring if:
- your procedure involves more than one vertebra
- there were any complications
- your general health is not good
Your doctor will advise you when you can resume normal activities and if you should take any bone-strengthening supplements or medications. You’ll probably be asked to schedule a follow-up visit to check your progress.
An ice pack can help relieve soreness or pain, but you should be feeling better within 48 hours.
All medical procedures have some level of risk. There’s a chance of infection or bleeding where the needle penetrated your skin. In some cases, nerve damage can lead to numbness, weakness, or tingling. It’s possible to have an allergic reaction to the materials used in the procedure.
After kyphoplasty or vertebroplasty, about 10 percent of patients end up with more compression fractures, according to RadiologyInfo.
Who It’s For
These procedures can be effective in treating people whose bones were weakened by cancer. They are also used to treat collapsed vertebrae due to osteoporosis, a disease that causes loss of bone density. Kyphoplasty and vertebroplasty are used to mend recent fractures. However, they aren’t used as a preventive technique, even for osteoporosis. They are usually not advised for herniated disks, back arthritis, or curvature of the spine due to scoliosis.
These two procedures haven’t been extensively tested in younger, otherwise healthy people. Since the long-term effects of the bone cement aren’t known, these procedures are generally reserved for older patients.