What are the indications for kyphoplasty?
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Conclusions: The indications for kyphoplasty include recent vertebral compression fractures due to osteoporosis, myeloma, metastasis and vertebral angioma with intractable pain and with no neurological symptoms.
What are the dangers of kyphoplasty?
Although the complication rate for Kyphon Balloon Kyphoplasty is low, as with most surgical procedures serious adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest (heart stops beating), stroke, and embolism (blood, fat or cement that migrates to the lungs or heart).
When is kyphoplasty not recommended?
Don’t put off a kyphoplasty consultation They don’t recommend surgery unless you continue to have significant pain after that six-week period. Other doctors prefer to keep their vertebral compression fracture patients on conservative treatment for three months before considering more invasive options.
How many times can you have kyphoplasty?
OBJECTIVE In this case series, the authors evaluated the safety of balloon kyphoplasty at 4 or more vertebral levels in a single anesthetic session. The current standard is that no more than 3 levels should be cemented at one time because of a perceived risk of increased complications.
What type of surgery is kyphoplasty?
kyphoplasty: a minimally invasive procedure used to treat vertebral compression fractures by inflating a balloon to restore bone height then injecting bone cement into the vertebral body. kyphosis: abnormal curve of the thoracic spine, also called hunchback.
What is spinal Retropulsion?
A retropulsed fragment is any vertebral fracture fragment that is displaced into the spinal canal, thereby potentially causing spinal cord injury. They usually arise from the vertebral body with or without a portion of the pedicle, and are displaced posteriorly, hence the prefix ‘retro’.
What is compression fracture with Retropulsion?
Burst fractures are a type of compression fracture related to high-energy axial loading spinal trauma that results in disruption of a vertebral body endplate and the posterior vertebral body cortex. Retropulsion of posterior cortex fragments into the spinal canal is frequently included in the definition.
How long is recovery for kyphoplasty?
Recovery from Kyphoplasty In others, elimination or reduction of pain is reported within two days. At home, patients can return to their normal daily activities, although strenuous exertion, such as heavy lifting, should be avoided for at least six weeks.
What kind of anesthesia is used for kyphoplasty?
Local and general anesthesia are the main techniques used during percutaneous kyphoplasty (PKP); however, both are associated with adverse reactions. Monitored anesthesia with dexmedetomidine may be the appropriate sedative and analgesic technique.
What are the contraindications of kyphoplasty?
The main contraindications are coagulation disorders, unstable fractures or complete vertebral collapse (vertebra plana). Kyphoplasty proved to be a safe and effective method for the treatment of intractable pain due to vertebral collapse that allows for shorter hospital stays and an immediate improvement in the patient’s quality of life.
Are vertebroplasty and kyphoplasty necessary in the treatment of traumatic fractures?
Traumatic A3.2 fractures were not an indication for either procedure. Major contraindications to both procedures were active infection (94.7%), cement allergy (86.8%), and coagulation disorders (80.3%). Conclusion: Vertebroplasty and kyphoplasty both have roles in the treatment of vertebral fractures.
What are the contraindications for postoperative pelvic fracture surgery?
Osteoporotic A1.1 fractures were an indication for VP. Traumatic A3.2 fractures were not an indication for either procedure. Major contraindications to both procedures were active infection (94.7%), cement allergy (86.8%), and coagulation disorders (80.3%).
Is vertebroplasty and kyphoplasty the same thing?
Indications and contraindications for vertebroplasty and kyphoplasty Vertebroplasty and kyphoplasty both have roles in the treatment of vertebral fractures. However, we could see differences in the indications for the two percutaneous techniques.