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Kyphoplasty

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Kyphoplasty

Kyphoplasty is performed for osteoporotic spinal fractures in cases of progressive collapse or intractable pain. This procedure is designed to stabilize the fracture, without the extensive morbidity of open surgical techniques.

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How is a Kyphoplasty done?

In the procedure room, the physician will cleanse your back with antiseptic solution. He will also numb your skin and deep tissues with anesthetic prior to starting the procedure. This procedure can be performed under local or general anesthesia.

With the aid of a C-arm fluoroscope unit, the physician directs a needle through the back into the pedicle of the vertebral body, allowing access to the fractured region. Once the localization is appropriate, the bone is drilled and two percutaneous inflatable bone tamps are inserted.  Under X-ray guidance, these tamps are inflated to increase the height of the fractured bone and to decrease the spinal deformity from the fracture.  Once this is accomplished, an injection of polymethylmethacrylate (PMMA) is injected under low pressure into the bone. Over the next 15 minutes, the cement hardens with a heat producing reaction.

After your injection, you will need to be observed for a period of time, often 3 hours. Occasionally, an overnight admission may be required (needs to be pre-certified).

You may not drive until directed by the physician. Do not plan on driving after the injection. You must have transportation arranged to take you home.

One or more of the authors of the above information has received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article.
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