Spinal fractures are very different from leg or arm fractures. A fracture of the spine can cause fragments of it to pinch or damage nerves coming out of the spine or the spinal cord itself. There are different types of fractures of the spine, compression being the most common.
Kyphoplasty is a minimally invasive procedure used to treat compression fractures by injecting cement into vertebral body. It is also used to restore some of the vertebral height lost due to the fracture. To ensure proper placement of the medication, the procedure is performed under x-ray (fluoroscopy)
The goal of kyphoplasty is to stabilize the fracture and stop the pain caused by the fracture.
Risks include cement extrusion into the vertebral canal leading to spinal cord or nerve root compression, venous embolism (a blood clot that forms within a vein), pulmonary embolism (one or more blood clots blocking an artery in the lungs). Complications are rare with vertebroplasty but include infection, bleeding, numbness/tingling, increased back pain, and paralysis.
This is usually done in a hospital setting under general anesthesia. A small incision is made in your back through which a doctor will place a tube. Using an x-ray machine, the tube us guided into place. Again using an x-ray machine, a balloon is guided through the tube into the vertebrae, and then they will gently inflate it. As the balloon inflates, it elevates the fracture returning the pieces of the fracture to a more normal position. The balloon is then removed and then cement is then injected into the affected vertebrae. It will take about 10 to harden
Relief varies from one person to the next. However, pain relief after vertebroplasty can be immediate and may last for 3 years.
You may NOT drive for the remainder of the day after your procedure. No heat is to be used on the injection area for the remainder of the day. No tub bath or soaking in water (pools/Jacuzzi, etc) for the remainder of the day. You may also be on bed rest for at least 24 hours after your procedure. You may gradually resume normal activities after 24 hours. You may experience some soreness which you may apply ice packs to.
If you experience severe back pain, new numbness or weakness of your legs, loss of control of your bladder or bowels, or have signs of infection (temperature greater than 99.9º , drainage, redness/heat at insertion site) – call IMMEDIATELY.
ON THE DAY OF YOUR PROCEDURE, PLEASE DO THE FOLLOWING:
♦ Take all blood pressure pills & heart medications prior to the procedure with a sip of water at least 3 hours before your requested arrival time. Your vitals must be stable to have the procedure.
♦ Have a responsible person to take you home.
♦ Arrive at the requested procedure time. Please do not be late or your procedure may be cancelled.
ON THE DAY OF YOUR PROCEDURE:
♦ Do not take ANY of the following 5 days before your procedure: Coumadin
♦ Do not take ANY of the following 7 days before your procedure: Plavix
♦ Coumadin must be stopped prior to the injection. You must have a normal INR prior to the injection. Do not stop the drug by yourself.
♦ Eat or drink 6 hours before the procedure.
NOTE: YOUR PROCEDURE WILL BE CANCELLED IF:
- You have an active infection, flu, cold, fever, or very high blood pressure.
- You do not have a responsible driver to take you home, arrive late for your procedure, or unable to follow the medication / fluid restrictions.
Call the office at (513) 860-1039 for procedure related questions.