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    Vertebroplasty∙ Balloon Kyphoplasty

    Definition

    Restoring the vertebral body by injecting bone cement through a needle inserted through the skin.

    It is a procedure to alleviate the pain of compression fracture patients by injecting bone cement into the vertebral body through a needle inserted through the skin. It is a minimally invasive procedure which can stabilize the spine in a short period of time. If the vertebral body is severely collapsed, a balloon can be used to recover the height of the vertebral body, followed by bone cement injection.

    • No skin incision needed
    • Immediate pain relief after the procedure and early discharge
    • No general anesthesia required, available for elderly patients with systemic medical condition (hypertension or diabetes)
    • Selective reinforcement

    Indication

    • Painful compression fracture by osteoporosis, unresponsive for medical treatments
    • Pain by primary spinal cord tumor, such as hemangioma or giant cell tumor
    • Osteolytic lesion by multiple myeloma, lymphoma, or metastatic tumor
    • Osteonecrosis
    • Reinforcement of vertebral body or pedicle, required for posterior interbody fusion
    • Chronic traumatic fracture accompanied with nonunion or cystic changes

    Procedure

    • 1.The patient lies down on their abdomen, relaxing their arms and legs.
    • 2.Confirm the location of vertebral pedicles using C-arm on the anterior, posterior, and lateral sides.
    • 3.Apply local anesthesia even though general anesthesia may be used in case of upper thoracic fractures.
    • 4.A needle would be advanced through a 0.5~1.0cm incision up to the target of the vertebral body under x-ray projection.
    • 5.Remove the needle and inject bone cement through the larger second needle.
    • 6.In case of balloon kyphoplasty, a catheter with a balloon would be inserted to restore the height of the vertebral body, followed by bone cement injection.

    Duration

    Approximately 30 minutes

    Hospital stay

    Approximately 1 day

    • A light shower is allowed 7 days later and bathing is allowed 4 weeks later
    • Brace for 3 months
    • Driving allowed after 2 months
    • No hot pad or acupuncture on procedure sites due to concern of infection
    • Please prevent becoming constipated or overweight by maintaining a proper diet.
    • Alcohol, tobacco, and coffee are recommended to avoid
    • Follow-up visit required after 1 month