Vertebroplasty and kyphoplasty are minimally invasive spine procedures that are recommended for patients suffering from vertebral compression fractures. Balloon kyphoplasty and vertebroplasty material from april the 1st, 2015. After vertebroplasty or kyphoplasty the techniques for these procedures are similar, and recovery for each is about the same. Kyphoplasty procedures are considered to be potentially more helpful in correcting vertebral collapse and wedging if it is done within six weeks of when the fracture is sustained. Vertebroplasty and kyphoplasty are used to treat painful vertebral compression fractures in the spine, most often the result of osteoporosis. The spine is the most common site of bone metastases. Kyphoplasty appears to be as effective as vertebroplasty in relieving pain and the adverse events, and the rate at which they occur, are similar to vertebroplasty. Although you may have been told different information from friends or.
This book c pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. The purpose of this document is to provide written information regarding the risks, benefits, and alternative treatment modalities for kyphoplasty. Both procedures involve an injection of acrylic cement into the bone, but in a kyphoplasty, a balloon is also inserted that is then blown up in an effort to restore some or all of the height of the bone. The aim of the procedure is to stabilize the vertebral fracture and thus relieve pain. The procedure should always be done before radiation therapy is begun. Preliminary outcomes of the first 311 consecutive kyphoplasties for the fixation of painful osteoporotic vertebral compression fractures. Vertebroplasty and kyphoplasty vertebroplasty is the injection of bone cement into the vertebral body in order to relieve pain andor stabilise the fractured vertebra. Dec 28, 2017 vertebroplasty is an outpatient procedure for stabilizing compression fractures in the spine. Vertebroplasty and kyphoplasty in most patients produce im provement in the quality of life because of pain relief, marked figure 3 axial ct view of the vertebra after pmma injection. Our involvement in the development and introduction of percutaneous vertebroplasty pv and kyphoplasty kp in. Vertebroplasty and kyphoplasty american journal of. Kyphoplasty improved vital capacity more than vertebroplasty. Percutaneous vertebroplasty and kyphoplasty john m.
Kyphoplasty and vertebroplasty are minimally invasive techniques that can be performed in an outpatient setting to treat vertebral compression fractures related to osteoporosis. Hampton roads radiology associates patient information. Vertebroplasty and kyphoplasty are minimally invasive procedures performed to treat vertebral compression fractures vcf of the spine. Kyphoplasty vertebral compression fracture vcf happens when the spine collapses due to osteoporosis or injury, resulting to a humped back and causing severe pain. The success rate for recovery after kyphoplasty and vertebroplasty is about 90%. Kyphoplasty, radiologist perspective 7 complications of vertebroplasty 8 patient selection criteria. Minimally invasive treatments for spinal metastases. Vertebroplasty and kyphoplastyare these procedures safe the back letter warns that the verdict on longterm followups is not out. Not only will these surgeries ease your pain, but they can help to. Percutaneous vertebroplasty and balloon kyphoplasty.
Vertebroplasty and kyphoplasty are two techniques for augmenting of vertebral bodies with acrylic bone cement. Compared with patients not receiving either of these procedures, the adjusted odds ratio for having a subsequent vertebral fracture within 90 days was 6. The overall procedurerelated complication rate for balloon kyphoplasty in the treatment of vcfs due to osteoporosis n805 is statistically significantly lower than the same rate for vertebroplasty in the treatment of vcfs due to osteoporosis n1148 0. In kyphoplasty a patient lies prone under local or general anesthesia. Vertebroplasty is the percutaneous injection of a vertebral body with bone cement, generally pmma. This book com pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. Pv was first reported by a french group in 1987 for the treatment of painful hemangiomas. Belkoff to reflect recent advances in percutaneous vertebroplasty and kyphoplasty. Vertebroplasty and kyphoplasty comparisons spinehealth. Kyphoplasty and vertebroplasty associated with reduced pain and disability in nonrandomized studies serious complications rare, but do occur single unblinded kyphoplasty trial found reductions in pain and disability, less apparent after 12 and 24 mo.
Kyphoplasty also includes a vertebroplasty, which is used to control fracturerelated pain. For a study to be included in the analysis, at least 80% of the treated vertebral compression fractures had to be related to osteoporosis. Percutaneous vertebroplasty and kyphoplasty page 3 of 18 unitedhealthcare commercial medical policy effective 09012019 proprietary information of unitedhealthcare. Version 1 december 20, 2007 kyphoplasty informed consent information introduction. Vertebroplasty is the injection of bone cement, generally polymethyl methacrylate pmma, into a vertebral body vb. In addition, nearly all of the participants were unable to or had difficulty performing activities of daily life before the vertebroplasty, but afterward a majority of patients felt little or no pain while going about their daily activities. With the marked increase in number of vertebroplasty and, more recently, kyphoplasty procedures performed during the last decade, a textbook is needed that sums and organizes the vast amounts of research and clinical experience that deal with these often interchangeable techniques. Patients suffering from vcf have two treatment options vertebroplasty vp and kyphoplasty kp. Two smaller but blinded shamcontrolled vertebroplasty trials found no benefit. To describe vertebroplasty and kyphoplasty, which are relatively new techniques used to treat painful vertebral compression fractures. Not only will these surgeries ease your pain, but they can help to prevent further damage. These are all cementoplasty techniques that are thought to relieve pain by. Vertebroplasty and kyphoplasty vertebroplasty is the injection of bone cement into the vertebral body in order to relieve pain and or stabilise the fractured vertebra.
This new edition of the wellregarded original has been thoroughly revised by drs. Vertebral augmentation, which includes vertebroplasty and kyphoplasty, are similar spinal procedures in which bone cement is injected through a small hole in the skin into a fractured vertebra to try to relieve back pain caused by a vertebral compression fractures. Vertebroplasty and kyphoplasty techniques mohamed mohi eldin. Pdf vertebroplasty and kyphoplasty for metastatic spinal lesions. Its main disadvantages, however, when compared with vertebroplasty are that it must be performed using deeper sedation or general anaesthesia, requires hospital admission and is up. Kyphoplasty balloon assisted vertebroplasty has received tremendous emphasis. Vertebroplasty and kyphoplasty are relatively easy procedures that have been reported to be effective in controlling acute pain. Thieme is the author of vertebroplasty and kyphoplasty 5. Jul 08, 20 the intent of both kyphoplasty and vertebroplasty is the same to provide pain relief, says ram mudiyam, md, an orthopedic spine surgeon at hoag orthopedic institute in irvine, calif. Percutaneous vertebroplasty and kyphoplasty springerlink. The investigators reported a substantial increased risk of subsequent vertebral fracture after vertebroplasty or kyphoplasty. Despite the good clinical outcomes reported with both vertebroplasty and kyphoplasty, and the fact that percutaneous vertebroplasty has been performed for more than 30 years, there is a lack of wellconducted randomized control trials on the subject.
The phrase vertebroplasty versus kyphoplasty evokes images of competitive procedures and groups of entrenched physicians locked in battle. It may take a long time, even 10 to 15 years before this will become available as proper controlled studies have never been done. With the marked increase in number of vertebroplasty and, more recently, kyphoplasty procedures performed during the last decade, a textbook is needed that sums and organizes the vast amounts. Vertebroplasty and kyphoplasty techniques slideshare. Bone cement is injected into back bones vertebrae that have cracked or broken, often because of osteoporosis. Vertebroplasty and kyphoplasty are recently developed techniques to treat painful vcfs. Percutaneous vertebroplasty and balloon kyphoplasty are methods that may be used to treat severe back pain resulting from vertebral compression fractures in. Hampton roads radiology associates patient information vertebroplasty and kyphoplasty vertebroplasty and kyphoplasty are two similar procedures that are typically performed for acute painful spine fractures related to osteoporosis but may be performed for metastatic cancer and myeloma or benign aggressive hemangioma involving the spine. The surgeon then inserts a small tube into the collapsed vertebra. The intent of both kyphoplasty and vertebroplasty is the same to provide pain relief, says ram mudiyam, md, an orthopedic spine surgeon at hoag orthopedic institute in irvine, calif. We also look at other methods that pot tially can be used for height restoration. Vertebroplasty and kyphoplasty florida spine institute.
Vertebroplasty and kyphoplasty are relatively new techniques used to treat painful vcfs. It was found not to be effective in treating osteoporosis related compression. Percutaneous vertebroplasty and balloon kyphoplasty in. Complications of vertebroplasty and kyphoplasty sciencedirect. The cement hardens, stabilizing the fractures and supporting your spine. They lessen the likelihood of additional fractures. Vertebroplasty and kyphoplasty should be completed within 23 months after fracture for the most effective treatment. When you have been suffering from the pain of vertebral fractures as a result of osteoporosis, your doctors will likely recommend a minimally invasive surgery, either vertebroplasty or kyphoplasty. Kyphoplasty has the added benefit of restoration of vertebral body height.
Vertebroplasty is an outpatient procedure for stabilizing compression fractures in the spine. Vertebroplasty and kyphoplasty are proven, safe, minimally invasive techniques. Certain clinical situations may be more appropriate for vertebroplasty or kyphoplasty, or may occasionally require open spinal surgery for additional posterior vertebral body fracture and collapse. Vertebroplasty vp and kyphoplasty kp have been proposed as potential. Vertebroplasty, kyphoplasty and sacroplasty collectively, percutaneous vertebral and sacral surgery are surgical procedures used to treat spinal pain believed to be caused by fractures in the vertebra or sacrum. These procedures significantly relieve the pain caused by the fractured vertebrae. The procedure known as vertebroplasty is generally done with the patient sedated but awake, in an xray suite or an operating room.
These procedures are often performed on patients with debilitating back pain who have not experienced adequate relief through conservative, alternative, or interventional therapies. Although complication rates are low for both procedures, major complications, including pulmonary embolism, cerebrovascular accidents, cardiotoxicity, major neurologic deficits, arterial injury, and progressive adjacentlevel fractures have been described. In case of wedging or vertebral collapse, the chances of success and recovery are higher if the procedure is done within six weeks after the fracture is sustained. There are two main types of vertebral augmentation surgery for compression fractures in the spine. Typically, vertebroplasty and kyphoplasty are recommended after less invasive treatments, such as bed rest, a back brace or pain medication, have been ineffective. Percutaneous vertebroplasty and kyphoplasty are proven and medically necessary for treating severe debilitating pain in cervical, thoracic or lumbar vertebral bodies within 4 months of pain onset that has failed to respond to optimal medical therapy e. Kyphoplasty last revised may 2011 introduction this information booklet has been written to give you and your family a basic understanding of what is involved when you require a kyphoplasty. In both cases, your surgeon injects a type of medical cement into your. Both vertebroplasty and kyphoplasty are successful about 90% of the time in significantly relieving the pain of fractured vertebrae. Obsolete sections have been judiciously replaced with cuttingedge material, such as an indepth look at the latest bone cements and devices.
363 1387 1213 639 1606 850 113 327 887 1301 761 506 738 1160 92 1116 949 608 1048 1075 430 1382 41 993 1502 548 701 456 1511 35 20 1169 831 1180 976 834 481 568 894 1419