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Esse Health - Vertebroplasty and Kyphoplasty

Esse Health - Vertebroplasty and Kyphoplasty

What is a vertebral augmentation?Percutaneous vertebroplasty is a minimally invasive procedure in which cement designed for use in bones is injected into the vertebral column (spine).You may be recommended for this procedure if you are suffering from pain caused by a vertebral compression fracture. This means that a vertebra (part of your spine) has collapsed, possibly due to a fall or the weakening of the vertebra. The cement functions as a sort of internal cast, providing pain relief and stabilising the affected area of the spine.  Kyphoplasty is when balloons are inserted into the compressed vertebra under CT or fluoroscopic guidance. If you have suffered a fracture due to trauma or have significant height loss caused by a fracture, your doctor may recommend that you undergo kyphoplasty.Vertebral augmentation is used to restore height by introducing an artificial vertebra. This may be followed with the injection of bone cement for the treatment of painful vertebral fractures, especially ones caused by trauma or entailing a significant loss of height.  How does the procedure work? Vertebroplasty and kyphoplasty are usually out-patient procedures. However, they are occasionally performed under general anaesthetic, and in these cases patients are kept in hospital overnight.You will lie on your stomach and will be given a local anaesthetic. The interventional radiologist will insert a needle into the spine using X-rays (sometimes combined with CT) to guide the needle, and will inject bone cement to the targeted area to make sure the bone does not collapse again.During the kyphoplasty procedure, two balloons are inserted and inflated before the injection of the bone cement, while, in the other vertebral augmentation procedures mentioned above, an implant is expanded before being inserted into the vertebral area.If you are given a local anaesthetic, you will be kept in hospital for two hours after surgery to be monitored before being discharged.  Why perform it? Vertebral augmentation can be performed to ease back pain which is caused by vertebral compressive fractures. Vertebral fractures are a common cause of pain and disability and are associated with increased mortality. What are the risks? A large number of studies have found vertebral augmentation to be an effective and safe way to treat vertebral fractures, especially when high-quality image guidance is used.You may experience minor complications such as an infection, an allergic reaction or bleeding from the puncture site. You may also experience the accidental blockage of a vein in your lower back, small cement leaks in the soft tissue around the vertebrae, inflammation of part of the spinal nerve, or a small blockage in your lung.Unfortunately, there are a number of possible severe side effects, though these are rare. Severe side effects include cement leaks into the surrounding area (a condition which requires immediate surgery), spinal cord direct lesion, which can lead to disability, and a large blockage in the lung, which can cause acute respiratory failure and death. Flow chart for patients Standards of Practice GuidelinesIf you're interested in learning more, follow this link to read about the CIRSE Guidelines on Percutaneous Vertebral Augmentation. Bibliography1. Baerlocher MO, Saad WE, Dariushnia S, Barr JD, McGraw JK, Nikolic B; Society of Interventional Radiology Standards of Practice Committee. Quality Improvement Guidelines for Percutaneous Vertebroplasty. J Vasc Interv Radiol. 2013 Nov 14.2. Gangi A, Sabharwal T, Irani FG, Buy X, Morales JP, Adam A; Standards of Practice Committee of the Society of Interventional Radiology. Quality assurance guidelines for percutaneous vertebroplasty. Cardiovasc Intervent Radiol. 2006 Mar-Apr; 29(2):173-8. Top



Request Appointment today and receive FREE the 3 Secrets to NO Pain First Name Last Name Email * Phone * Insurance? Tell Us About Your Pain function reloadJcaptcha() {var now = new Date();if (document.images) {document.images.captcha.src = 'https://preferredpain.infusionsoft.com/Jcaptcha/img.jsp?reload=' + now}} Enter the above code:  What are Vertebroplasty and Kyphoplasty?Vertebroplasty and kyphoplasty are each a spinal treatment designed to create stability for the spine and provide pain relief to a patient suffering from a spinal fracture. Each treatment method is an injection of specialized cement into the area of damage, which will then harden to create a stable foundation after the spine has been fractured. Some of the more common causes of fractures that we treat include vertebral compression fractures, trauma related fractures, and osteoporosis.The decision of which procedure to perform by the patient will be based on how long the fracture has been present. An MRI will be used to assess whether or not the body is still trying to heal the fracture. If so, a kyphoplasty or vertebroplasty can provide significant relief to a patient. If the body is no longer trying to naturally heal a fracture, neither procedure is indicated.Both vertebroplasty and kyphoplasty are unique treatment methods for spinal fractures, regardless of the original cause of fracture. Any patient who has suffered a compression fracture may be able to re-obtain both substantial pain relief and functionality of the spine by stabilizing it through vertebroplasty and kyphoplasty.How are Vertebroplasty and Kyphoplasty performed?Each of these procedures is a different approach towards stabilizing the spine. A vertebroplasty is the careful insertion on a catheter, guided by fluoroscopic imaging, into the fractured area of the spine to prepare for the injection of bone cement.Once placed in the desired area, cement will be injected and given time to solidify inside the vertebrae (takes about 20 minutes). While this does not heal the damage in any way, it provides reliable stabilization to the spine which will reduce pain felt from bone fragments and help to restore spinal function.A kyphoplasty is also performed with fluoroscopic imaging and a catheter, but has additional steps. Commonly, a kyphoplasty will use multiple catheters with small balloons attached the end. Saline will be injected into these balloons, which are designed to swell within the fracture to disperse bone fragments and create an empty space for bone cement to be inserted in.Once a void has been created by the balloons, they are removed to allow for cement to be inserted. The effects are similar to that of a vertebroplasty, but help provide better stabilization as there are no pieces of bone intermingled with the hardened cement. The cement is also injected under much higher pressure during a vertebroplasty, which can potentially cause extravasation of the cement outside of the bone.For patients still under symptomatic effects of the fracture, each of these treatments can provide substantial benefit in stabilizing the spine to restore function and relieve pain. Patients can expect to feel pain relief immediately following the procedure, but may still feel the effects of muscle spasms in the days following the procedure as the spine adapts to the new vertebral strength.Over 90% of patients receiving a vertebroplasty or kyphoplasty in the correct time window (two to three months following the fracture) report a significant amount of relief.While each procedure has very low risk, there is still risk present. Patients run the risk of infection due to the needles used for injection, and may also experience pain, bleeding, or swelling at the injection sites.Patients may also experience an allergic reaction to the medications used during the procedure. Rarely, it is possible for the spinal cement to leak into other areas of the spine during the procedure which may produce secondary side effects which may include neurologic deficit.Each of these is a very low risk procedure that can provide significant relief to a patient who has suffered a spinal fracture.If you or a loved one suspects a vertebral compression fracture with mid to low back pain , a Denver pain management doctor can help decrease your pain. This may include pain medications, spinal bracing or a kyphoplasty/vertebroplasty. Call Colorado Pain today at (720) 306-9575! P: (720) 306-9575 F: (888) 892-1831 6950 East Belleview Avenue Suite 300 Greenwood Village, Colorado 80111 2350 Meadows Blvd Ste 300 Castle Rock, Colorado 80109 Colorado Pain Network offers top pain clinics serving Denver, Greenwood Village, Aurora, Lakewood, Wheat Ridge, Arvada with Board Certified pain management doctors offering both medication management and interventional procedures. Call for the best pain management in greater Denver!





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