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All Posts Tagged: Kyphoplasty

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WHAT IS KYPHOPLASTY? AND HOW IT IS USED TO TREAT SPINAL FRACTURES?

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Kyphoplasty treatment is minimally invasive procedure used to treat vertebral compression fractures of the spine. These wedge-shaped and painful fractures can be caused by osteoporosis and an injury. If they left untreated, they can lead to a humped spine or kyphosis. Kyphoplasty treatment helps correct the bone deformity and relieves the pain associated with spinal compression fractures

Candidates for kyphoplasty

You are a candidate of kyphoplasty treatment if you have painful vertebral compression fractures from any of the listed conditions;

  • Metastatic tumor (a cancer which spread from another area)
  • Osteoporosis (a lowering of calcium in bones)
  • Vertebral hemangioma (benign vascular tumor)
  • Multiple myeloma (bone marrow’s cancer)

One thing you should keep in mind is that kyphoplasty treatment will not improve old and chronic fractures, nor will they reduce back pain associated with stooping forward and poor posture. Kyphoplasty is significantly effective when it is chosen as soon as the first week after a fracture.

How kyphoplasty is actually performed?

You need to lie down on your stomach before kyphoplasty treatment has been started. The area in which the needle will be inserted is cleaned and sterilized and local anesthetic may be injected in the same place. Surgeon will then perform the following steps;

  • The surgeon inserts a hollow needle called as trocar into your skin. With the help of fluoroscopy (a type of X-ray) they guide the needle through your muscles and into the correct position in your bone.
  • Next they will insert an inflatable balloon into the trocar. The balloon is inflated to create the space needed for the bone cement.
  • Once the space has opened up, the mixture is injected to fill it up. Imaging tests will help the surgeon to confirm that the mixture is distributed properly.
  • After the cement is in place, the needle is removed.
  • The area is bandaged. Stitches won’t be necessary.
  • Your IV and monitoring equipment are then removed.

Time of procedure is depending on how many vertebrae is going to be treated. Kyphoplasty treatment usually takes less than an hour for treating one vertebra.

Restrictions you should follow after procedure

  • No exhausting activity for the next 2 weeks including yard work and housework
  • Avoid lifting or twisting and bending your back for the next 2 weeks
  • For 2 weeks after surgery do not lift anything heavier than 5 pounds
  • Do not drink alcohol for 2 weeks after surgery or while you are taking narcotic medication
  • Do not drive for 2-3 days. Once the haziness from anesthesia wears off you can resume driving

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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What Is Kyphoplasty And How The Procedure Is Performed?

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This is a slightly invasive procedure for the treatment of painful vertebral compression fractures, which are fractures relating the vertebral bodies that make up the spinal column. At the point when a vertebral body fractures, the typical rectangular shape of the bone ends up compressed, as a result, triggers the pain.

These compression fractures may include the breakdown of one or more vertebrae in the spine and are a common aftereffect of osteoporosis. Osteoporosis is a disorder that outcomes in a loss of normal bone density, mass and strength, driving towards a condition in which bones turn out to be more and more porous, and helpless against breaking easily.

In order to perform kyphoplasty treatment, doctors utilize image guidance, in most cases fluoroscopy, in order to inject a blend of cement into the cracked bone through a hollow needle.

Kyphoplasty Treatment Before and During the Procedure

Preparation for the Procedure:

Based on the fact that kyphoplasty treatment is a surgical procedure, the doctor will most likely require some blood tests prior to the day of the procedure. Furthermore, X-Ray or MRI will enable the doctor to see the area or areas that need repair.

In the process of preparation, an intravenous line will be set in a vein in order to deliver anesthesia. You may likewise get pain and anti-nausea medications, as well as antibiotics,  to avoid infection. The patient most likely additionally be connected to the heart, pulse, and blood pressure monitors.

Kyphoplasty Treatment Procedure:

In these sort of procedures, patients are required to lie down on the stomach. The area in which the needle will be inserted is shaved on the off chance that obligatory and afterwards cleaned and sterilized.

Following Are The Steps Performed By The Surgeon:

  • A hollow needle is inserted into the skin with the guidance of fluoroscopy, this is a kind of X-Ray. They guide the needle through the muscles and into the right position in the bone.
  • In the next step, an inflatable balloon is inserted into the trocar.
  • After that, the balloon is inflated in order to make the space required for the bone cement.
  • As soon as space has opened up, the blend is injected in order to fill it. In this case, imaging tests work in a way to assist the surgeon to confirm that the blend is distributed appropriately.
  • As soon as the mixture is set up, the needle is taken out.
  • After that, the area is bandaged. In this case, stitches won’t be required.
  • IV and monitoring equipment are removed.

 

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2018-07-28

Compressed Spine?! There you go…

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Kyphoplasty is useful for treating painful compression fractures in your spine. In a compression fracture, all or part of a spine bone collapses. This procedure is also known as balloon kyphoplasty. A compression fracture or a break in one of your vertebra can be very painful. It gets difficult to move and perform basic functions of life. That’s because a break can result in bone fragments rubbing against each other thus, causing pain.

Surgery can be helpful for treating such fractures. For example, kyphoplasty and vertebroplasty are minimally invasive procedures that are often performed together. Usually, they can be done without a hospital stay. Like vertebroplasty, kyphoplasty injects special cement into your vertebrae, but with the additional step of creating space for the treatment with a balloon-like device. Kyphoplasty can restore a damaged vertebra’s height and may also relieve pain.

As with vertebroplasty, the effectiveness of kyphoplasty is still under debate in the medical community and hence, you should discuss the risks and benefits with your doctor.

At Pain Management Institute, you can achieve expert consultancy for your elbow problems. Dr Zaki Anwar is very experienced in interventional treatments. He is a world renowned Pain Medicine Physician and has been practicing ways to cure pain leading to serious problems for the past several years and has achieved remarkable results. Get his expert opinion by just making a phone call at 815-464-7212.

Doctors might recommend kyphoplasty for cancer-damaged vertebrae or certain spinal fractures. In most cases, a weakening of the bones (osteoporosis) has caused the vertebrae to compress or collapse, causing pain or a hunched posture.

Kyphoplasty Potential Risks

The risks of kyphoplasty include:

  • Infection
  • Bleeding
  • Increased back pain
  • Tingling, numbness or weakness because of nerve damage
  • Allergic reactions to chemicals used with X-rays to help guide the doctor
  • Cement leaking out of position

You may face other risks, depending on your specific medical condition. Make sure to discuss any concerns with your doctor before you undergo the procedure.

Additional Details about the procedure

  1. Before the procedure:

Your doctor will examine you, possibly by taking blood for testing and using X-ray or magnetic resonance imaging (MRI) to locate the fractures.

  1. During the procedure:

Later, the anesthesia would be injected through an IV to either relax you and relieve your pain or put you to sleep. With the help of your X-ray, your doctor will intoduce a needle through your skin and back muscles into the bone, then inflate a balloon to help the vertebra regain its normal shape. He will inject the cement while checking X-rays to ensure it’s going into the right place. At the end, the doctor will remove the needle, with no stitches needed.

The entire procedure will probably take less than an hour, though it may last longer if more vertebrae are treated.

  • After the procedure:

You will spend time in a recovery room. You could go home the same day, but your doctor may want you to stay overnight if required. It’s likely that you can start walking in an hour after the procedure. You may feel some soreness where the needle entered your back, but this lasts no more than a few days. You may quickly notice that you have less pain than you did before the surgery.

Take a constant follow up from your doctor about whether you should avoid any activities after the procedure. He may suggest taking certain vitamins, minerals and medications to help strengthen your bones and prevent additional spinal fractures.

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2018-04-07 (1)

Kyphoplasty help patients regain lost mobility and become more active

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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

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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

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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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