by Nevada Pain
What are kyphoplasty and vertebroplasty?
Kyphoplasty and vertebroplasty are procedures that have been developed to treat spinal compression fractures. Both of these procedures use bone cement, which is injected into the fracture site; this then hardens and stabilizes the broken vertebra. It also acts to prevent further injury or re-injury.
What is the difference between kyphoplasty and vertebroplasty?
Both vertebroplasty and kyphoplasty use medical-grade bone cement to repair fractured or compressed vertebrae. This is usually inserted under fluoroscopy (X-ray guidance) into the affected vertebra by Las Vegas pain management doctors.
When the bone cement hardens, it provides structural support and stabilization to the broken vertebra. This will then immediately fuse the fragments of the vertebra into a continuous piece, thus resolving the irritation and inflammation caused by the broken fragments rubbing against each other, and against nerves and other soft tissues. The exothermic heat released by the polymerization process (hardening of the bone cement) can also be a factor that contributes to the alleviation of the pain symptoms.
Vertebroplasty is used in conditions that require stabilization of the spine. This procedure has also been shown to help prevent repeat fractures.
Kyphoplasty is similar to vertebroplasty in that both techniques use bone cement to stabilize patients. However, this involves the injection of a balloon tamp in the vertebral body first. This balloon is then inflated, increasing the height of the vertebra and increasing the available space for the bone cement. Bone cement is then injected into the target space after the balloons are deflated.
The benefits from the kyphoplasty procedure are similar to that of vertebroplasty. This procedure is either conducted under general anesthesia or IV sedation. It may also require admission to the hospital for one night, but not necessarily.
What conditions benefit from kyphoplasty and/or vertebroplasty?
Kyphoplasty and vertebroplasty are invasive procedures that should only be recommended if other conservative measures have already failed. Medication and physical therapy along with bracing should be first line treatments prior to the consideration of surgical interventions.
The two procedures can be used to treat fractures of the vertebral body, which can come from a wide range of conditions. Osteoporosis (weakening of the bone) is the most common reason for fractures. Other reasons that can contribute the vertebral fracture include, but are not limited to:
- Growth from malignancies
- Metastatic cancer
- Vitamin D deficiency
- Chronic renal disease
- Rheumatoid arthritis
Certain medications have also been identified to cause osteoporosis, and continued intake of the following can contribute to the weakening and fracture of the spine:
What are the clinical outcomes of kyphoplasty and vertebroplasty?
The procedures are well tolerated by most patients. However, these procedures are only recommended after the failure of more conservative options. It is recommended that in the absence of risk factors for failure of non-surgical management, an initial three-week trial of conservative treatment be considered.
Some studies have shown that kyphoplasty can readily alleviate pain symptoms in over 80% of patients. Vertebroplasty has also been shown to be effective in alleviating pain from vertebral fractures. The procedures (vertebroplasty and kyphoplasty) have comparable outcomes. However, kyphoplasty has been shown to offer a higher degree of correction for spinal deformities. It has also been shown to result in less leakage of bone cement.
What are the risks of kyphoplasty or vertebroplasty?
Similar to any surgical operation, kyphoplasty and vertebroplasty both place the patient at risk for surgical infection (from a non-sterile environment). Other possible risks of the procedures include intra-operative damage to muscles, nerves and other soft tissues, or pain that persists beyond the disease’s window period.
There is also the risk of adverse effects from leakage or erroneous placement of the bone cement. However, these risks are all well below 1%.
The top Pain Management Doctors in Las Vegas and Henderson are at Nevada Pain. The Board Certfiied and Award Winning doctors provide kyphoplasty and vertebroplasty along with bracing and medication management for those with vertebral compression fractures.
Along with offering these minimally invasive procedures, the Las Vegas pain clinics treat all kinds of conditions of back and neck pain, sciatica, RSD, fibromyalgia, headaches, failed back surgery, neuropathy and more.
Over 50 insurances are accepted, call (702) 323-0553 for more information and scheduling today!