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All Posts Tagged: Kyphoplasty treatment

2018-04-07 (1)

Kyphoplasty help patients regain lost mobility and become more active

Kyphoplasty is the procedure used to treat painful vertebral fractures caused by excessive pressure in the spinal column, which commonly results in osteoporosis. The kypholplasty is done by a physician using imaging guidance to inject a cement mixture in the fracture bone. With the help of Kyphoplasty the patients regain lost mobility and become more active

At the Pain Management Institute, the Kyphoplasty procedure is done by Dr Zaki Anwar, Anesthesiologist,  Founder of the Pain Management Institute. He will first diagnose your condition with  the help of imaging or physical exam. He will instruct you how to prepare and discuss with your physician if there is any possibility of you being pregnant or any prior medical records and breakout. He might advise you to stop taking any blood thinning medications or pain killers are restricting you from eating or drinking anything a few hours before the procedure take regular medications with a sip of water, don’t wear any jewelry or metallic objects, wear light loose clothes take someone to drive you home

What is Kyphoplasty?

When the vertebral disc is fractured the bone becomes compressed causing severe pain. These compression fractures leads to collapse the disc space between one or two vertebrae and result in osteoporosis in the long term. Osteoporosis is a disease that causes the normal bone to decay and becomes vulnerable to breaking easily

During the Kyphoplasty an air balloon is first inserted to create a space in the fracture and then the cement is injected into the space following the removal of the balloon. Generally Kyphoplasty is recommended after other conventional treatments have failed such as plenty of bed rest, wearing a brace, physical workout and pain killers. Kyphoplasty can be performed instantly in patients with unbearable pain who require hospitalization or other conventional treatments have failed

Kyphoplasty is also performed on patients who:

  • Are elderly or frail and will likely have impaired bone healing after a fracture
  • Have a vertebral compression due to a malignant tumor
  • Suffer from osteoporosis due to long-term steroid treatment or a metabolic disorder

Kyphoplasty should be completed within eight weeks of the acute fracture for the highest chances of successful treatment.

Risks

Any procedure where the skin is injected involves a risk of infection, however this only happens in 1 of 1000 patients. A very negligible amount of cement can leak from the vertebral bone, potentially it doesn’t cause any problem, but if the leakage spreads to the spinal canal, blood vessels and lungs resulting in perilous consequences

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No more agonizing of compression fractures with Kyphoplasty

If you are burdened with a painful vertebral compression fracture and you live in Chicago, Frankfort then you are in a good fortune, there is where the prestigious Pain Management Institute by Dr Zaki Anwer, MD, for in- patient Kyphoplasty is located.

Research indicates, more than 750,000 patients suffer compression fractures per year in the United States, these fractures are more frequent than hip fractures, and usually brings prolonged disability

Until the present times doctors were restricted in how they could treat osteoporosis- caused spine fractures. Pain medications, plenty of rest and invasive spinal surgery were the sole choices. Now there is a potential therapeutic and preventive treatment for compression fractures which is called Kyphoplasty

“About 5 years  ago I was diagnosed with two compression fractures with severe pain. While I was in college and was operated.”

“The other fractured vertebral columns were silent until I was playing golf and the moment I felt that back pain, I remembered what it was. The same pain I endured a few years ago. The very same day I visited Dr. Zaki Anwer, MD, at the Pain Management Institute, at first he recommended some pain medications and also we tried some conservative treatments such as Physical therapy. A week later Dr. Zaki Anwer,MD, took an MRI and suggested that he would operate.

“Dr. Zaki Anwer, MD planned a different surgery that the one I had before. It was Kypholplasty, a minimally invasive surgery performed under general anesthesia. Dr Zaki Anwer, MD, made two small incisions in my epidural space with the guidance of an X-Ray placed a probe into the epidural space where the bone was damaged”.

“He penetrated the vertebra and placed a balloon on each side. The balloons were inflated with contrasting pigmentation until they got the desired height and then removed. The space he created with the help of the balloon was then filled with PMMA, an orthopedic cement, that helps bind the fracture. The cement hardened rapidly and  provided strength and stability to the vertebra, restoring height, and relieving my chronic  pain”

Explaining the major difference between spinal surgery and Kyphoplasty, Dr. Zaki Anwer said:

“Instead of making a large incision and cutting through the large back muscle, I make a small incision and use tubes, There is no cutting of the back muscle.”

The Kyphoplasty treatment option is suitable for compression fracture, relieving pain, stabilizing fractures, minimizing spinal deformity and consequences of untreated osteoporosis

Additional benefits of the procedures include:

  • Short surgical time
  • Only general or local anesthesia required
  • The Average hospital stay is one day (or less)
  • Patients can quickly return to the normal activities of daily living
  • No brace required

Talking about the risks Dr Zaki Anwer, MD, advised

It is vital that you must discuss about the potential risks, complications and advantages of Kyphoplasty with your Physician before receiving treatment and rely upon your physician’s diagnosis. Only your physician can determine whether Kyphoplasty is suitable for you or not

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Get rid of the spinal fracture pain by Kyphoplasty

The Kyphoplasty procedure is done to alleviate the pain arising due to spinal compression fractures, to support the bone and to bring back significant lost spinal body height due to compression fracture

Performing Kyphoplasty Surgery

The Kyphoplasty surgery is carried out by making a very minimal incision in the back by the means of which the physician places a slim tube under the guidance of fluoroscopy so that the tube can reach the fractured part of the spinal disc cutting through the skin into the bone

With the guidance of  an X-ray images the physician injects a specialized balloon with the help of a tube and delicately blow up the balloon. As the balloon enlarges, it raises the broken pieces of the fracture bone, restoring it to the correct position, also the balloon tightens the soft inner bone to produce a gap in the spine. The balloon  is taken out by the physician using a specialized tool exerting a small amount of stress and fill up the cavity with a cement resembling substance. The material hardens soon after supporting the bone. The procedure usually takes an hour to be completed for each disc. The procedure is less complicated and need patient to stay one day at the hospital. The Kyphoplasty is generally works best for the patients undergoing fractures  from osteoarthritis

Recovery

For some patients the pain can be easily and instantly eliminated, however, some patients experience relief  within a day or two. Soon after the therapy the patients can return to their routinely activities, though heavy exercises and weight lifting should  be avoided for a period of two months.

Candidates for Kyphoplasty

Kyphoplasty does not give permanent relief from certain abnormalities of the spinal column, and certain  patients with osteoporosis are not recommended for Kyphoplasty

Risks and Complications of Kyphoplasty

As with the invasive procedure, there are some risks attached that may generally include reactions from anesthesia and infections. Other risks that are particularly associated with Kyphoplasty treatment may be;

  • Nerve damage or a spinal cord injury from wrongly inserted instruments placed in the back
  • Nerve injury or spinal cord compression from leaking of the cement into veins or epidural space
  • Allergic reaction to the solution used to see the balloon on the X-ray image as it inflates

Patients suffering from Osteoporosis are certainly at risks of more fractures with the procedure due to weakened bones from Osteopororsis.

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