Like vertebroplasty, kyphoplasty injects special cement into your vertebrae — with the additional step of creating space for the treatment with a balloon-like device (balloon vertebroplasty). Kyphoplasty can restore a damaged vertebra’s height and may also relieve pain.
Doctors might recommend kyphoplasty for cancer-damaged vertebrae or certain spinal fractures. In most cases, a weakening of the bones (osteoporosis) has caused the vertebrae to compress or collapse, causing pain or a hunched posture.
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 result in bone fragments rubbing against each other.
Surgery can help treat such fractures. For example, 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 these 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.
Candidates for kyphoplasty or vertebroplasty
These procedures can be effective in treating people whose bones are weakened by cancer or whose vertebrae collapse 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. As well, they’re usually not advised for herniated disks, back arthritis, or curvature of the spine due to scoliosis.
What happens before and during the procedures
Because kyphoplasty and vertebroplasty are surgical procedures, your doctor will probably order some blood tests before the day of your surgery. Imaging tests such as an X-ray or MRI scan will help your surgeon see the area or areas that need repair.
In preparation, an intravenous line (IV) will be placed in a vein in your arm to deliver anesthesia. You may also receive pain and anti-nausea medications, as well as antibiotics to prevent infection. You’ll probably also be connected to heart, pulse, and blood pressure monitors.
For these procedures, you need to lie down on your stomach. The area in which the needle will be inserted is shaved if necessary, and then cleaned and sterilized. A local anesthetic may be injected in the same place.
Your surgeon then performs these steps:
- The surgeon inserts a hollow needle (trocar) into your skin. With the aid of fluoroscopy, a type of X-ray, they guide the needle through your muscles and into the correct position in your bone.
- They next insert an inflatable balloon into the trocar.
- The balloon is then inflated to create the space needed for the bone cement.
- Once the space has opened up, the mixture is 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 is removed.
- The area is bandaged. Stitches won’t be necessary.
- Your IV and monitoring equipment are removed.
Recovery after the procedure
Following the procedure, you’ll probably stay in a 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.
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 immediate soreness or pain, but you should be feeling better within 48 hours.
Complications and risks
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.
Call for an Evaluation
Call our office to have one of our board certified physicians evaluate your condition. Our physicians specialize in pain management and offer many options for pain relief. Our phone number is (510) 582-8555.