Kyphoplasty

Kyphoplasty is a type of minimally invasive surgery used to treat vertebral compression fractures (VCF), which are often caused by osteoporosis, cancer, or trauma. The procedure aims to reduce pain, restore vertebral body height, and correct spinal deformity.

Procedure

Kyphoplasty is performed under local anesthesia or general anesthesia. The patient is positioned prone (face down) on the operating table. Using fluoroscopy for guidance, the surgeon inserts a needle through the skin and into the fractured vertebra. A balloon is then inserted through the needle and inflated to create a cavity. The balloon is removed, and the cavity is filled with bone cement to stabilize the fracture.

Indications

Kyphoplasty is indicated for painful vertebral compression fractures that have not responded to conservative treatment, including analgesics, bed rest, and bracing. It may also be considered for patients with progressive vertebral body collapse or those with neurological deficits due to the fracture.

Risks and Complications

As with any surgical procedure, kyphoplasty carries risks, including infection, bleeding, increased back pain, and neurological symptoms such as numbness or weakness. There is also a risk of cement leakage, which can cause complications depending on where it leaks.

Effectiveness

Studies have shown that kyphoplasty can significantly reduce pain and improve quality of life for patients with vertebral compression fractures. However, more research is needed to compare its effectiveness with non-surgical treatments and other surgical options.

See Also

• Vertebroplasty
• Spinal fusion
• Osteoporosis
• Vertebral compression fracture

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