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kyphoplasty (balloon kyphoplasty)
Also see vertebroplasty.
Indications:
- painful vertebral compression fractures due to osteoporosis
- useful with loss of vertebral height*
* of questionalble value but likely of no harm [3]
Procedure:
1) a trocar is inserted through the vertebral pedicle & into the marrow of the vertebral body under fluoroscopic guidance as in vertebroplasty
2) a balloon is inflated inside the compressed vertebral body to restore vertebral height
3) polymethylmethacrylate cement is injected into the vertebral body where it hardens
Advantages:
- restores vertebral height
Related
vertebroplasty
Specific
sacroplasty; sacral augmentation
General
vertebral augmentation
References
- Kao D, UCLA Multicampus Program in Geriatric Medicine & Gerontlology 2001
- Journal Watch 23(6):49, 2003
Ledie JT & Renfro M, J Neurosurg 98:Spine:36, 2003
- Mills ES et al.
Secondary fracture rate after vertebral osteoporotic compression fracture is
decreased by anti-osteoporotic medication but not increased by cement augmentation.
J Bone Joint Surg Am 2022 Dec 21; 104:2178
PMID: 36223482
https://journals.lww.com/jbjsjournal/Abstract/2022/12210/Secondary_Fracture_Rate_After_Vertebral.6.aspx