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Kyphoplasty

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What is a Kyphoplasty

A kyphoplasty procedure combines techniques used in a vertebroplasty and balloon catheter technology borrowed from angioplasty.  A kyphoplasty if performed to correct painful vertebral fractures caused by osteoporosis.

The kyphoplasty procedure was developed by Mark A. Reiley with the goal of ending the pain caused by a compression fracture. This is achieved by stabilizing the bone and at the same time restoring some, if not all, of the lost height from the vertebral compression fracture.

This surgical procedure can be performed with either a local anesthetic or under general anesthesia.  Depending on what anesthetic is used, the procedure could be performed in a surgical outpatient environment and is considered minimally invasive.  The procedure is frequently performed to fix vertebral compression fractures caused by osteoporosis, although in some rare instances the fracture is caused by other conditions.  Kyphoplasty enjoys a relatively high success rate is performed within eight to ten weeks of the compression fracture.

Compared with a vertebroplasty procedure, a kyphoplasty surgery has many potential advantages.  While a vertebroplasty procedure will correct a vertebral compression fracture, a kyphoplasty will correct it as well with an added bonus of restoring the original vertebral height. 

Kyphoplasty vs. Vertebroplasty

Cement Leakage - Although it has never been shown, many believe that compared to the liquid cement used in a vertebroplasty, the viscous cement used in a kyphoplasty has less chance of leakage.  Cement leakage from a vertebra can prove quite dangerous as it may leak into the spinal cavity directly affecting the nearby sensitive spinal nerves. 

Deformity (hunchback) - During a kyphoplasty a balloon catheter is inserted and inflated while in the fractured bone, helping to restore the original height.  When vertebra compress it often leads to a hunchback look.  By regaining the lost height the risk of a hunchback is reduced.

Thoracic Pain - The common theory with this advantage is by restoring some if not all of the original height of the vertebral body before the compression fracture, pain caused by thoracic cavity compression should be alleviated and risk or mortality is decreased.