Kyphoplasty

Kyphoplasty is a surgery that is done to try to relieve pain from compression fractures of the spine by stabilizing the broken bone with a type of cement. The surgery is not done very often, because most fractures heal on their own. Fractures can happen because of osteoporosis, tumors, or other conditions.

Your doctor may numb the area, or you may get medicine to make you sleep.

The doctor makes a small cut in your back. Then the doctor inserts a hollow needle or tube called a trocar. Fluoroscopy, a kind of X-ray, is used to guide the needle to the fractured vertebra.

When the needle is in place, the doctor inserts a balloon. The balloon is inflated and then deflated. Then the doctor uses a hollow needle to put a type of cement into the space created by the balloon.

Procedures can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for your procedure.

Preparing for the procedure

• You may need to shower or bathe with a special soap the night before and the morning of your procedure. The soap contains chlorhexidine. It reduces the amount of bacteria on your skin that could cause an infection after the procedure.
• Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
• Understand exactly what procedure is planned, along with the risks, benefits, and other options.
• If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your procedure. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
• Tell your doctor ALL the medicines, vitamins, supplements, and herbal remedies you take. Some may increase the risk of problems during your procedure. Your doctor will tell you if you should stop taking any of them before the procedure and how soon to do it.
• Make sure your doctor and the hospital have a copy of your advance directive. If you don’t have one, you may want to prepare one. It lets others know your health care wishes. It’s a good thing to have before any type of surgery or procedure.

Experts don't all agree with how well kyphoplasty works. There is no strong evidence that kyphoplasty is better than nonsurgical treatment, such as pain medicine, rest, and exercise. If nonsurgical treatment doesn't help, kyphoplasty may be an option for some people.

Some possible problems from kyphoplasty include:

• Allergic reactions.
• Nerve damage.
• Infection.

Problems are more common when more than one vertebra is treated at the same time.

Talk to your doctor about how this surgery compares with other treatments you might have.