{"id":2474,"date":"2015-12-03T07:24:30","date_gmt":"2015-12-03T13:24:30","guid":{"rendered":"http:\/\/www.medradclinics.com\/?p=2474"},"modified":"2015-12-03T12:47:35","modified_gmt":"2015-12-03T18:47:35","slug":"percutaneous-vertebroplasty-kyphoplasty","status":"publish","type":"post","link":"https:\/\/www.medradclinics.com\/?p=2474","title":{"rendered":"Percutaneous vertebroplasty & kyphoplasty"},"content":{"rendered":"

What are percutaneous vertebroplas<\/strong>ty & kyphoplasty?<\/strong><\/h2>\n

Vertebroplasty<\/strong> is restoring strength to a fractured vertebra (backbone) by injecting a\u00a0chemical (bone cement) into it through a hollow tube introduced into the bone from the\u00a0back. The chemical permeates the lacelike\u00a0spaces in the bone including the fracture\u00a0planes, hardens, and reinforces it.<\/p>\n

\"Vertebroplasty

Vertebroplasty<\/p><\/div>\n

\"Kyphoplasty

Kyphoplasty<\/p><\/div>\n

Kyphoplasty<\/strong> is the repair of a hunched back\u00a0caused by compressed vertebral fracture(s). It\u00a0is typically achieved by inflating a balloon\u00a0inserted into the crushed vertebra through in- struments advanced into it from the back. The\u00a0inflation creates a cavity or space into which\u00a0bone cement is injected. Thus, not only is the bone stronger, it is ‘taller’ and the back hunch-free. Both procedures are commonly done\u00a0under cover of conscious sedation (light sedation) and local anesthesia, allowing patients to\u00a0go home the same day.<\/p>\n

 <\/p>\n

 <\/p>\n

What are the indications for vertebroplasty and kyphoplasty?<\/strong><\/p>\n

\n
\"Osteoporosis

Osteoporosis<\/p><\/div>\n

\"Multiple

Multiple myeloma<\/p><\/div>\n<\/div>\n

The typical patient is one who broke their backbone(s) in a fall or, who through some other\u00a0means damaged a backbone and whose pain does\u00a0not respond to adequate pain medication, physical\u00a0therapy and back braces. Osteoporotic vertebral\u00a0fractures take 4 weeks to 12 weeks to heal and\u00a0can be a source of constant back pain and altered\u00a0lifestyle. Over 80% of people with such painful\u00a0fractures are pain-free after vertebroplasty or ky- phoplasty. The re-enforced bone remains fit and\u00a0painfree until another fracture occurs at another\u00a0level of the spinal column.<\/p>\n

 <\/p>\n

 <\/p>\n

Who is at risk for vertebral compression\u00a0fractures?<\/strong><\/span><\/h2>\n

People at risk for fractures of the backbone include those with osteoporosis or other medical\u00a0conditions that weaken the bone, such as multiple myeloma (MM), vertebral hemangioma or metastatic cancer. By far the commonest of thses is\u00a0osteoporosis, which is commoner in elderly Caucasian females. In this non-malignant condition the amount of calcium in bones is low,\u00a0placing them at risk for fractures with little\u00a0or no stress or provocation.<\/p>\n

How do I know I need vertebro<\/strong>plasty or kyphoplasty?<\/strong><\/h2>\n

If you are an elderly person or someone\u00a0with any of the conditions referred to above\u00a0that weaken bones and you have back pain\u00a0with or without a fall that has not responded\u00a0to conservative measures, you may wish to\u00a0see your healthcare provider. Plain x-rays, CT scan, or MRI of your back will help determine if you need to see a specialist such\u00a0Osteoporosis\u00a0Multiple myeloma\u00a0as an interventional radiologist for vertebroplasty or kyphoplasty. People with healed\u00a0vertebral fractures are unlikely to benefit\u00a0from these treatments. In such persons, oth- er causes of back pain should be sought. It is\u00a0for this reason that most practitioners of vertebroplasty and kyphoplasty rely on MRI of\u00a0the spine to determine if a suspected vertebral fracture is responsible for a patient’s\u00a0back pain, in addition to it being able to uncover unsuspected reason(s) for such pain.<\/p>\n","protected":false},"excerpt":{"rendered":"

What are percutaneous vertebroplasty & kyphoplasty? Vertebroplasty is restoring strength to a fractured vertebra (backbone) by injecting a\u00a0chemical (bone cement) into it through a hollow tube introduced into the bone from the\u00a0back. The chemical permeates the lacelike\u00a0spaces in the bone including the fracture\u00a0planes, hardens, and reinforces it. Kyphoplasty is the repair of a hunched back\u00a0caused […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51],"tags":[],"class_list":["post-2474","post","type-post","status-publish","format-standard","hentry","category-service","pmpro-has-access"],"_links":{"self":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts\/2474","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2474"}],"version-history":[{"count":4,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts\/2474\/revisions"}],"predecessor-version":[{"id":2487,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts\/2474\/revisions\/2487"}],"wp:attachment":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2474"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2474"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}