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Kyphoplasty is a minimally invasive spinal stabilisation procedure to treat compression fractures, where a part or whole of the vertebrae collapses.
Pre-procedure: Before the procedure, you will be positioned appropriately, and your vital signs, such as heart rate, oxygen level, blood pressure, and pulse, will be monitored.
Procedure: During the procedure, sedation or general anaesthesia is administered, and an incision is made where the fracture is located, which can either be on the thoracic or lumbar region. With the help of fluoroscopy imaging, a trocar tube is pushed through the incision and passed through the fractured area. A special ballon (bone tamp) is inserted through the trocar and is advanced through the tube to reach the vertebrae. The balloon is inflated to create a cavity, returning the vertebrae to their natural height. The balloon is then deflated and removed, and another tube is inserted to fill the cavity with bone cement, i.e., polymethylmethacrylate (PMMA), which quickly solidifies to stabilise the vertebrae, followed by confirmation of the uniformity of bone cement inside the cavity using fluoroscopy imaging. The incisions are then closed with bandages or stitches.
Post-procedure: You will be shifted to the recovery room, where you will be monitored further for signs of complications.
Several factors may lead specialists to perform Kyphoplasty procedures, which include:
A vertebral fracture that persists for more than 2 weeks even after undergoing non-surgical treatments, which can include pain relievers, bed rest, and physical therapy
Painful or progressive osteoporosis or cancer, such as multiple myeloma, can lead to fractures accompanied by severe pain
The vertebral collapse is between 30% and 70%
Absence of nerve compression and spinal cord involvement in the vertebral fracture. If nerve compression occurs, other extensive surgeries are recommended
The Kyphoplasty procedure offers several benefits, some of which include:
Improved functional abilities and a quicker return to normal routines without rehabilitation or physical therapy.
Safe and effective procedures that do not require large incisions.
Successful at alleviating pain caused by vertebral compression and providing immediate relief to many patients.
Quick recovery and enhanced restoration of the vertebrae, thereby offering improved quality of life and well-being.
Our specialist will conduct a thorough evaluation, including symptoms and medical history, and see if Kyphoplasty can address your fracture. You will be further subjected to one more screening and diagnostic imaging procedure, which may encompass blood tests, spine X-rays, bone scans with a radiotracer, computer tomography (CT) scans, or magnetic resonance imaging (MRI) scans. You have to inform your specialist if you are pregnant or might be pregnant so that our specialist can take measures to minimise any exposure to the foetus. Once the assessment is made, our specialists will discuss the need for the procedure and provide the necessary instructions to prepare for it.
General instructions you should follow to prepare for Kyphoplasty involve:
Taking medications as prescribed by our specialist and avoiding particular medicines, such as blood thinners
Fasting and avoiding caffeine or sugary beverages for at least 3 to 6 hours before the procedure
Leaving any jewellery and other accessories at home during the day of your procedure
Abstaining from smoking or chewing tobacco to prevent any peri-operative complications
Planning your transportation before and after the procedure
Asking any questions or sharing concerns with our medical team or specialists will be promptly addressed.
Possible complications that may occur during or after the Kyphoplasty procedure include:
Cement leakage can result in longer hospitalisation, patient morbidity, the requirement for open surgery, and the use of pain relievers. This complication can also lead to:
Infection or heavy bleeding around the surgical site
Severe pain or tingling sensation
Nerve damage, such as nerve root or spinal cord compression, is mainly due to iatrogenic injuries
Allergic reactions to anaesthesia or other medications
During your stay in the recovery room after Kyphoplasty, you will be told to start walking for at least an hour each day. You may experience soreness or pain around the back where the incision is made, which will be addressed by pain medications or by using ice packs. Kyphoplasty procedures are usually performed in an outpatient setting and do not require an overnight stay unless specified by our specialist. During your discharge, you will be prescribed vitamins or supplements to help strengthen your bones and prevent any spinal fractures, along with recovery instructions, which you must adhere to to facilitate healing.
The recovery time after Kyphoplasty varies based on the severity of the condition, the patient's overall health, their recovery pace, and how well they follow post-procedure instructions. In general, a Kyphoplasty procedure will provide relief within 48 hours after the procedure, although it may provide instant pain relief in some cases. The pain associated with the procedure, however, will wear off within two to three days. Our specialist will schedule follow-up appointments based on your availability to evaluate your progress.
General recovery instructions you can follow to enhance your healing after Kyphoplasty include:
Avoiding strenuous activity such as bending, pushing, and heavy lifting, particularly anything over 5 kilogrammes, for several weeks or unless specified by our specialist
Refraining from driving for 2 weeks
Wearing support such as back braces while standing or walking and avoiding prolonged sitting for more than 20-30 minutes
Initially, perform light exercises, then gradually increase to easy and moderate exercises.
Sleeping in a proper position and practising caution while climbing stairs or performing similar activities
Adhering to pain and antibiotic medications prescribed by our specialists
Taking adequate care of your incisions to prevent infections
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