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