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Kyphoplasty

Balloon kyphoplasty; Osteoporosis - kyphoplasty; Compression fracture - kyphoplasty

Kyphoplasty is used to treat painful compression fractures in the spine. In a compression fracture, all or part of a spine bone collapses.

The procedure is also called balloon kyphoplasty.

Description

Kyphoplasty is done in a hospital or outpatient clinic.

You lie face down on a table. The health care provider cleans the area of your back and applies medicine to numb the area.

A needle is placed through the skin and into the spine bone. Real-time x-ray images are used to guide the doctor to the correct area in your lower back.

A balloon is placed through the needle, into the bone, and then inflated. This restores the height of the vertebrae. Cement is then injected into the space to make sure it does not collapse again.

Why the Procedure Is Performed

A common cause of compression fractures of the spine is thinning of your bones, or osteoporosis. Your provider may recommend this procedure if you have severe and disabling pain for 2 months or more that does not get better with bed rest, pain medicines, and physical therapy.

Your provider may also recommend this procedure if you have a painful compression fracture of the spine due to:

Risks

Kyphoplasty is generally safe. Complications may include:

Before the Procedure

Before surgery, always tell your provider:

During the days before the surgery:

On the day of the surgery:

After the Procedure

You will probably go home on the same day of the surgery. You should not drive, unless your provider says it is OK.

After the procedure:

Outlook (Prognosis)

People who have kyphoplasty often have less pain and a better quality of life after the surgery. They often need fewer pain medicines, and can move better than before.

References

Evans AJ, Kip KE, Brinjikji W, et al. Randomized controlled trial of vertebroplasty versus kyphoplasty in the treatment of vertebral compression fractures. J Neurointerv Surg. 2016;8(7):756-763. PMID: 26109687 www.ncbi.nlm.nih.gov/pubmed/26109687.

Savage JW, Anderson PA. Osteoporotic spinal fractures. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 35.

Weber TJ. Osteoporosis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 230.

Williams KD. Fractures, dislocations, and fracture-dislocations of the spine. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 41.

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Review Date: 7/7/2019  

Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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