Kyphoplasty

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Minimally Invasive Balloon Kyphoplasty
Balloon Kyphoplasty is a minimally invasive procedure that can
repair spinal fractures. It takes about an hour (per level) to
treat a fracture with balloon kyphoplasty, and the procedure
can be done on an outpatient or an inpatient basis, depending
on the needs of the patient.
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Objective of the Kyphoplasty Procedure
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Kyphoplasty is a procedure used to restore the strength and
height of a collapsed or fractured vertebra by infusing bone
cement in the affected vertebra. It is mainly indicated in elderly
patients suffering from weak and brittle bones due to
osteoporosis.

Osteoporosis is a disease of the old age in which the bones
become weak and brittle due to lack of calcium and are
vulnerable to fractures even with trivial trauma. The vertebral
column is most susceptible to such osteoporotic fractures as it
bears the entire weight of the upper body while doing any small
or big task. The aim of Kyphoplasty is to reduce the pain of
fractured vertebra, to reinforce the weakened bone and to
restore normal vertebral height.
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Objective of the Kyphoplasty Procedure
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Relevant Anatomy :- The vertebral column consists of 33
small bones called vertebra. Each vertebra has a basic structure
comprising of a body anteriorly (in front) and a vertebral arch
posteriorly (behind). The vertebral arch consists of two
transverse processes that project sideways, two pedicles (flat
bone between body and transverse process), lamina (flat arched
bone between the transverse process and the spinous process)
and the spinous process (backward projection). The vertebral
arch encloses the spinal canal which lodges the spinal cord.
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How is Kyphoplasty Performed ?
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Kyphoplasty is performed under local or general anesthesia.
Using image guidance x-rays, two small incisions are made and
a probe is placed into the vertebral space where the fracture is
located. The bone is drilled and a balloon, called a bone tamp, is
inserted on each side. These balloons are then inflated with
contrast medium until they expand to the desired height and
removed. The balloon does not remain in the patient. It simply
creates a cavity for the cement and also helps expand the
compressed bone.

The spaces created by the balloons are then filled with PMMA,
the same orthopaedic cement used in vertebroplasty, binding
the fracture. The cement hardens quickly, providing strength
and stability to the vertebra, restoring height, and relieving
pain.
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Get Free opinion
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