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Kyphoplasty and Vertebroplasty

What is Kyphoplasty and Vertebroplasty?

Kyphoplasty and Vertebroplasty treatments address the intense pain caused by vertebral compression fractures that is refractory to conventional therapies such as analgesic use, bed rest, and bracing. Vertebroplasty may also be applied prophylactically to an at-risk vertebra between two other abnormal vertebra (see image: before treatment).

10945tnKyphoplasty and vertebroplasty involve the injection of an acrylic cement under local anesthesia and either fluoroscopic guidance or, less commonly, CT guidance to control the pain of vertebral fractures associated with osteoporosis, tumors, and trauma (see image after treatment).  10947tn

Where is a Vertebroplasty and Kyphoplasty performed? 

Typically, vertebroplasty is performed in an outpatient setting, while kyphoplasty typically requires hospital admission. Pain reduction or elimination is immediate, and the risk of complications is low.  Neither vertebroplasty or kyphoplasty is intended for the treatment of intervertebral disc disease or arthritis.

What is the difference between Vertebroplasty and Kyphoplasty? 

Vertebroplasty does not restore the height of the compressed vertebral body. A related procedure, kyphoplasty, is intended to restore lost height by inflating a balloon tamp within and between the fracture fragments prior to the infusion of methylmethacrylate. The procedures result in similar relief of pain due to vertebral compression fractures.

What causes vertebral compression fractures?

The fractures may be as a result of bone weakened by osteoporosis, trauma, or tumors such as metastases, multiple myeloma, and hemangioma. Osteoporosis, however, accounts for most fractures. The disease accounts for an estimated annual incidence of 700,000 fractures per year; of these, approximately 260,000 are vertebral compression fractures. Once a vertebral compression fracture occurs, the risk of additional fractures in adjacent vertebrae increases 5-fold.

 

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