By Dr. Ty and Dr. Oh
Kyphoplasty and Vertebroplasty is a minimally invasive procedure performed on patients suffering from vertebral compression fractures and atypical configurations of the vertebrae caused by osteoporosis. Certain fractures often cause long-term pain and osteoporosis can misalign the vertebrae, both resulting in extreme pain.
During the procedure, the surgeon locates the area that needs correction and makes a small incision behind the target area. A narrow tube is inserted into the area of the fracture and a special type of balloon is inflated. Creating space around the fracture, this procedure helps to restore the natural shape and creates a cavity in the center of the vertebrae.
Once the opening is created and the balloon inflated, the balloon is then removed and a material similar to cement is inserted in the opening. Once the cement-like material hardens, the bone becomes stabilized.
This is a same-day procedure and requires little recovery time.
Filling the Cavity
IBT Trio: IBT Insert, Inflate, and Internal Cast
Incision Sites after Balloon Kyphoplasty
Fractured Vertebral Body (sideview)
KyphX Xpander Inflatable Bone Tamp (Full Image)
KyphX Xpander Inflatable Bone Tamp (Half Image)
The Downward Spiral
Kyphoplasty back surgery is a common procedure and is regularly performed on people of all ages with varying problems with their spine.
It’s tough getting old, and age can sometimes do cruel things to your spine. Osteoporosis is the main cause of pain in the spine with age, and this can cause compression fractures of the smooth bones of the back, called vertebrae. Many techniques are available to help overcome the breakdown and fracture of the vertebra, but what technique your doctor uses will be based on the type of compression fracture you have. If your vertebra breaks down in a uniform manner, you may be eligible for the minimally invasive procedure of vertebroplasty. However, if your compression fracture looks more like a wedge with the small end facing towards the front, then you will need kyphoplasty.
At BASIC Spine, we take pride in providing minimally invasive procedures to help you overcome your spinal injury. Kyphoplasty is one of these procedures, and it can help to restore your back to its former alignment. It can even help with some of the narrowing of the spinal canal. In addition, it has a great track record of reducing pain and allowing you better movement in your back. This is a technique that we use frequently in our practice, and we can guide you to choosing this procedure if you are an eligible candidate.
What is Kyphosis?
Kyphosis is the curvature of the spine that is so often seen in older women. It creates the "dowager’s hump" or stooped over appearance. It can also affect lung capacity, height, and it can cause a great deal of pain. Essentially, each vertebra breaks down from the top. Instead of fracturing in a uniform pattern, it creates a wedge shape. That is, the vertebra breaks down more in the front than in the back. When several bones break in this fashion, it creates an abnormal forward curve to the spine. In less severe cases, the fractures only affect the bones of the neck, but some severe cases can actually affect the bones of the chest and rib cage. With each broken bone, you experience more pain and less movement in the back.
Although vertebroplasty is a minimally invasive procedure, kyphoplasty is slightly more complicated than that simple technique. You will be put under general anesthesia, which means you will be asleep and pain free. A small incision will be made near the collapsed vertebrae, and a narrow tube is placed into it. Using a special moving x-ray called fluoroscopy, the surgeon will determine which vertebrae need to be treated.
Once they are identified, a special type of balloon is inserted into the collapsed vertebra. This balloon is slowly inflated to bring the bone back to its original height. It also compacts the inner bone matrix to make a hollow cavity in the vertebra. The balloon is then removed and a cement-like material is injected into the created space. This cement hardens quickly and provides instant stabilization to the bone. Each vertebra takes about an hour of surgical time, and when it is complete, you are taken to the recovery room.
Recovery and Complications
You may need to spend one day in the hospital following this surgery to ensure that your spine is stable. Most patients feel pain relief immediately, but sometimes it takes up to two days to feel your best. You should not move anything heavy, though, for at least six weeks. You should be able to return to normal activities within a few days. The complications from this procedure are negligible, and they include damage to the nerves surrounding the spine and an allergic reaction to any of the contrast dyes used in fluoroscopy.
If you are dealing with a kyphotic spine and back pain, you need a group of experienced, caring professionals to guide you through the kyphoplasty procedure. Find a great team of spinal surgeons who are more than capable of making your surgery a success, and you could stand up straight again.
- Back Pain
- Brachial Plexus Injuries
- Cervical Radiculopathy
- Lumbar Radiculopathy
- Compression Fractures
- Degenerative Disc Disease (Cervical and Lumbar)
- Facet Joint Syndrome
- Failed Back or Neck Syndrome
- Herniated Disc
- Lower Back Pain
- Nerve Impingement
- Spinal Infection
- Spinal Canal Stenosis (Cervical and Lumbar)
- Spinal Cord Compression
- Spina Bifida
- Cervical Neck Pain
- Lumbar Back Pain
- Lumbar Disc Herniation
- Other Ultra-Invasive Styles
- Anterior Cervical Discectomy and Fusion (ACDF)
- Posterior Lumbar Interbody Fusion (PLIF)
- Anterior Lumbar Interbody Fusion (ALIF)
- Artificial Disc Replacement
- Endoscopic Spine Surgery
- Posterior Cervical Foraminotomy
- Micro Endoscopic Lumbar Discectomy
- Micro Endoscopic Cervical Discectomy
- Extreme Lateral Interbody Fusion (XLIF®)
- Interlaminar Lumbar Instrumented Fusion (ILIF™)
- Facet Joint Injections
- Pain Pumps
- Spinal Cord Implants
- MILD Procedure (Minimally Invasive Lumbar Decompression)
- Ultra Minimally Invasive Endoscopic Spinal Surgery
- Compression Fracture (Cervical/Thoracic/Lumbar)
- Headaches (Migraines, Tension, Cluster)
- Heel Spur
- Medial Lateral Epicondylitis
- Myofacial Pain Syndrome
- Occipital Neuralgia
- Peripheral Neuropathy
- Plantar Fasciitis
- Postherpetic Neuralgia
- Sacroiliac Joint Disease
- Slipped Rib Syndrome
- Shoulder/Hip/Knee/Ankle/Wrist pain
- Trigeminal Neuralgia