| Vertebroplasty & Kyphoplasty |
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What is vertebroplasty?
Vertebroplasty is a minimally invasive
procedure used to treat compression fractures of the vertebrae. By
injecting an acrylic cement mixture into the center of the collapsed
bone, vertebroplasty can strengthen and stabilize the fracture
rendering it far less painful. The procedure is usually done on an
outpatient basis and requires only local anesthetic.
What is the difference between vertebroplasty and kyphoplasty?
Similar
to vertebroplasty, kyphoplasty may be used on patients with such severe
or numerous compression fractures that they have kyphosis (a forward
leaning posture). Kyphoplasty offers the potential to restore bone
height in the vertebra and partially (usually modestly) reverse the
kyphotic deformity of the spine.
Who benefits from vertebroplasty?
One of the leading causes of
back pain is compression fracture of a vertebra in the spine.
Researchers estimate that at least 25 percent of all women and a
somewhat smaller percentage of men, over the age of 65, will suffer one
or more vertebral compression fractures due to the natural bone loss of
osteoporosis. Until recently, treatment options for vertebral
compression fractures were limited to pain management with strong oral
medications, reduced activity, bracing or invasive back surgery, with
only mediocre results. Vertebroplasty offers elderly patients with a
proven treatment alternative, without the need for major surgery, and
with excellent efficacy in selected cases.
How does vertebroplasty work?
With the patient under a local
anesthetic, a needle is inserted into the fractured area of the spine.
Using fluoroscopically-guided imagery, the vertebral cavity is filled
with an acrylic cement paste. Shortly after injection, the material
hardens, creating a supportive structure that prevents further collapse
and alleviates pain. The procedure often takes less than a half hour
and patients are able to return home the same day, regaining mobility
within 24 hours and often experiencing immediate reduction or even
elimination their pain medication.
How does kyphoplasty work?
Kyphoplasty is performed similarly
to vertebroplasty except that a balloon, called a bone tamp, is
inserted through the needle then inflated with contrast medium (using
fluoroscopically-guided x-rays) until the vertebra is expanded to the
desired height. The balloon is then deflated and the space created by
the balloon is then filled with the same acrylic cement used in
vertebroplasty, binding the fracture. The cement hardens quickly,
providing strength and stability to the vertebra, restoring
height,alleviating kyphosis and relieving pain.
Vertebroplasty and kyphoplasty are two of many procedures performed at PainCare Centers in Somersworth, NH. Ask your family physician if vertebroplasty might be appropriate for your condition. |


