Vertebroplasty / Kyphoplasty

Operation
percutaneous vertebral application of cement

Indication
painful osteoporotic vertebral compression fracture, progressive deformity following osteoporotic vertebral compression fracture

Pre-assessment
yes

Special preparation for surgery
x-rays, bloods, MRI, (CT scan, bone scan)

Admission to hospital
on day of procedure

General anesthetic
majority of cases

Operation position
prone (on front)

Details of operation
Using X-ray image guidance the vertebral bodies are entered using a special canula(hollow large bore needle). In kyphoplasty a small balloon is passed down the tube and inflated to make a cavity. Special cement is then inserted down the canula to fill the cavity or vertebral body.

Length of surgery
1hr

Urinary catheter required
no

Post-operative drain required
no

Post-operative antibiotics
no

Post-operative iv fluids ( drip)
no

DVT prophylaxis
No

Mobilization after surgery
Immediately

Length of stay in hospital
Less than 24hrs

Post hospital recovery
Few days to two weeks

Sutures removed
Dissolvable

Dressing
Dissolvable

Review appointment
2-4 weeks

Physiotherapy
Not usually required

Return to driving
24-48 hrs

Return to work
2 weeks