Kyphoplasty

Published on 10/03/2015 by admin

Filed under Neurosurgery

Last modified 10/03/2015

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Chapter 18 Kyphoplasty

Balloon kyphoplasty is a minimally invasive option for treating vertebral compression fractures. It can be performed as an outpatient procedure and can provide immediate pain relief. The patient can return to activities of daily living just after the procedure, which stabilizes vertebral fractures and reduces spinal deformity by restoring vertebral body anatomy and height.

The incidence of cement leakage and other procedure-related complications is low, and pain relief has been reported in more than 90% of patients. The procedure time requires 20 to 40 minutes per level, and the medical cost is higher than that of vertebroplasty. Supplementary facet joint injections or medial branch blocks may improve the level of pain relief in some cases.

Preoperative preparation

The physician should obtain a description of the presenting symptoms from the patient, which may include complaints of limitation of motion, and varying degrees of local pain with or without radiation around the trunk and further anteriorly.

The physical examination at the level of the recent fracture(s) reveals corresponding tenderness upon deep palpation and pain provoked by percussion.

The imaging diagnosis would include the following: