Kyphoplasty or balloon Kyphoplasty is a minimally invasive procedure that is used to treat painful compression fractures (fracture in which all or part of a spine bone collapses) or spinal fracture caused by osteoporosis, cancer, or benign lesions in the spine.
In adults, this procedure may be performed under local anesthesia. This means a patient is conscious, yet unable to feel pain. A sedative may be administered to help the patient relax and feel sleepy during the procedure. Or, the procedure may be performed under general anesthesia, which means the patient is asleep and unable to feel pain. This is the option of choice for pediatric patients.
To perform the kyphoplasty, the doctor uses a thin surgical instrument, like a needle with a balloon inside it. The instrument is inserted through the skin and back muscles and into the bone. The surgeon then inflates the balloon, which comes out the end of the needle and creates a space in the vertebra as it inflates. This portion of the procedure usually helps the bone regain its normal shape.
The procedure is performed under local or general anaesthesia either in outpatient clinic or hospital. The surgeon is guided by real-time x-ray images to locate the target treatment area. In the target area, an orthopaedic balloon is inserted through the needle and inflated to gently elevate the fractured vertebra so as to make an attempt to return it to the correct position. This is followed by injection of bone cement to stabilize the fracture. It takes around one hour per fracture and patient is probably fine to go home on the same day of surgery.
Risks associated with Balloon Kyphoplasty
Although the procedure is safe but sometimes may be associated with following complications:
- Heart attack or cardiac arrest
- Leakage of bone cement into the blood vessels, muscles or tissues
- Allergic reactions to medicines
- Paralysis due to nerve injury
- Breathing or heart problems
Advantages of Balloon Kyphoplasty
- More effective than non-surgical care for the treatment of acute vertebral compression fractures
- Faster and greater improvement in back pain relief
- Improved quality of life after one month of the surgery
- Restores height and corrects stooped posture
- Need fewer pain medicines
Better movement than before