Spinal Fracture
most of trauma related with your back of spine may causes spinal fracture.usally involve dorsal spine and lumbar spine in majority of cases.but cervical spine usally present with displacement frecature like spondylolisthesis or burst fracture.
vertebral column comprise of vertebrae ,in clinical terminology it can also be caused by cancer, the most common being multiple myeloma, breast, lung and prostate. According to the Multiple Myeloma Research Foundation, the majority of patients with multiple myeloma – some 70 to 95% — have progressive metastatic bone disease particularly in the spine, which increases the risk of fractures.
Some spinal fractures may collapse immediately while others collapse over time. Left untreated, one fracture can lead to subsequent fractures, often resulting in a condition called kyphosis, or rounded back. Kyphosis, signified by the dowager’s hump, compresses the chest and abdominal cavity, resulting in serious negative health consequences.
The Balloon Kyphoplasty Procedure
Using a needle and tube, the spine specialist creates a small pathway into the fractured bone. A small, orthopedic balloon is guided through the tube into the vertebra. The incision site is approximately 1 cm in length.
- The balloon is carefully inflated in an attempt to raise the collapsed vertebra and return it to its normal position.
- Inflation of the balloon creates a void (cavity) in the vertebral body.
- Once the vertebra is in the correct position, the balloon is deflated and removed.
- The cavity is filled with bone cement forming an “internal cast” to support the surrounding bone and prevent further collapse.
- Generally, the procedure is done on both sides of the vertebral body.
The Balloon Kyphoplasty procedure-
Typically takes about less than 30 minutes per fracture and may require an overnight hospital stay. not more than 24 hrs, The procedure can be done using either local or general anesthesia; or under sedation, under fluro guidance, the surgeon will determine the most appropriate method, based on the patient’s overall condition.
Although the complication rate with Balloon Kyphoplasty has been demonstrated to be low, as with most surgical procedures, there are risks associated with the procedure, including serious complications. This procedure is not for everyone. with minimally invasive therapies,
Balloon Kyphoplasty Outcomes
Balloon Kyphoplasty is a minimally invasive, pain management and neurosurgical treatment that stabilizes spinal fractures, thereby reducing pain and correcting vertebral deformity. Studies report the following benefits:
- Correction of vertebral body deformity
- Significant reduction in back pain
- Significant improvement in quality of life
- Significant improvement in mobility, including the ability to perform daily activities such as walking, hobbies and work
- Significant reduction in the number of days per month that a patient remains in bed
- Low complication rate (<1%)
Vertebroplasty
Vertebroplasty is a new, image-guided procedure performed by Interventional pain physician or neurosurgeon, as a treatment for painful spinal compression fractures and for some types of spinal cancer.
The procedure involves placing a needle into a fractured vertebral body and injecting a special type of bone cement. Many patients experience a dramatic decrease in their pain.
Younger people also suffer these fractures, particularly those whose bones have become fragile due to the long-term use of steroids or other drugs to treat a variety of diseases such as lupus, asthma and rheumatoid arthritis. Of particular concern are spinal fractures caused by a progressive weakening of the bone — a condition called osteoporosis.
The pain and loss of movement that often accompanies bone fractures of the spine are perhaps the most feared and debilitating side effects of osteoporosis. For many people with osteoporosis, a spinal fracture means severely limited activity, constant pain and a serious reduction in the quality of their lives.
Fractures of the vertebrae have traditionally been much more difficult to manage than broken bones in the hip, wrist or elsewhere. These broken bones can often be successfully treated with surgery. But because surgery on the spine is extremely difficult and risky, it has typically not been used to treat vertebral fractures associated with osteoporosis except as a last resort.
