Once maximum inflation has been met, the balloon is deflated and removed. The kyphon balloon kyphoplasty platform is used to treat pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions. The main difference between kyphoplasty and vertebroplasty in terms of procedure would have to be kyphoplastys need for a balloon. Kyphoplasty for the treatment of vertebral compression. This helps to restore the collapse in the vertebrae. Kyphon balloon kyphoplasty is a minimally invasive treatment that can stabilize the fracture and reduce back pain, as well as restore vertebral body height and. A variation of vp, kyphoplasty kp, attempts to restore the height and angle of. Balloon kyphoplasty procedure including information about reimbursement and uplifting patient testimonials. The term kyphoplasty came from the greek words kypho which means hump, and plasty meaning to reshape a defect thus restoring the form and function of a certain body part. Learn how medtronic balloon kyphoplasty has transformed. Bone cements for percutaneous vertebroplasty and balloon. This material serves as a supplement to the discussion you have with your physician. In this procedure, a doctor inserts and inflates a balloon to create an opening for the mixture. Jul 08, 20 the intent of both kyphoplasty and vertebroplasty is the same to provide pain relief, says ram mudiyam, md, an orthopedic spine surgeon at hoag orthopedic institute in irvine, calif.
However, there remains a risk of bone cement leakage during and after kyphoplasty, especially in cases characterized by vertebral wall destruction. Spine surgeons debate the value of vertebroplasty and kyphoplasty. Kyphoplasty, vertebral compression fractures, osteoporosis. Kyphoplasty side effects doctors answer your questions. Kyphoplasty gives surgeons a way to fix the broken bone without the problems associated with open surgery. The stryker rep is trying to push his new cement, called cortoss.
The following presentation will walk you through this minimally invasive procedure step by step. Combining vertebroplasty studies, there were a total of. Controversial issues in kyphoplasty and vertebroplasty in. Version 1 december 20, 2007 kyphoplasty informed consent information introduction. Medtronics bkp offering is kyphon balloon kyphoplasty, a minimally invasive. The balloon will be used to create a void into the vertebra where the. Kyphoplasty is a surgical procedure for the spine and is designed to stop the pain that is caused by a spinal fracture. Unlike open surgery, which involves an incision and the use of larger instruments, kyphoplasty is a minimally invasive procedure. However, an inflatable bone tamp is required to perform the surgery. Curbing opioid use for vertebral compression fractures with balloon. Stepbystep you have been diagnosed with a vertebral compression fracture. The balloon is removed after the cement is injected. Kyphoplasty is a variation of a vertebroplasty which attempts to restore the height and angle of kyphosis of a fractured vertebra of certain types, followed by its stabilization using injected bone cement.
Percutaneous vertebroplasty and kyphoplasty page 3 of 18 unitedhealthcare commercial medical policy effective 09012019 proprietary information of unitedhealthcare. Aug 19, 2011 osteoporotic vertebral compression fractures are a menace to the elderly generation causing diminished quality of life due to pain and deformity. They have all shown less leakage, more radiographic height gain, and less subsequent fractures with kyphoplasty. At first, conservative treatment still is the method of choice. Kyphon hvr bone cement medtronic sofamor danek usa inc. Kyphoplasty kp and vertebroplasty vp have been successfully employed for many years for the treatment of osteoporotic vertebral fractures. It requires a small opening in the skin and small instruments. Subsequent models received fda 510k clearance in 2001 and 2003. Vertebrae that are near the procedure area may break. Kyphoplasty is a minimally invasive surgery used to treat a spinal compression fracture.
Patients suffering from vcf have two treatment options vertebroplasty vp and kyphoplasty kp. For complete information regarding indications for use, contraindications, warnings, precautions. Balloon kyphoplasty involves the use of a specialized bone tamp with an inflatable balloon to expand a. Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty, and mechanical vertebral augmentation bcbsa ref. The kyphon inflatable bone tamp kyphon, santa clara, ca first received fda 510ki clearance in 1998. Jun 27, 2016 kyphoplasty is like vertebroplasty plus percutaneous vertebral augmentation a.
Medtronic kyphon, the 800pound gorilla of kyphoplasty. Patients who received balloon kyphoplasty had higher 60month adjusted survival rate 66. Kyphoplasty is a procedure used to treat vertebral compression fractures and abnormal configurations typically caused by osteoporosis. In 155 prospectively enrolled patients who received kyphoplasty, there was only 1 complication that could be related to anesthesia, an intraoperative episode of psvt although the patient had a history of pvst. Kyphoplasty and nucleus pulposus prosthesis vertebroplasty and kyphoplasty. Balloon kyphoplasty is a minimally invasive treatment for spinal compression fractures also called vertebral compression fractures of vcfs. Visual analog scores fiftynine patients 73% had documented followup with vas or written notes about subjective improvement at two and four weeks. Use these educational materials to help patients and the general public understand the balloon kyphoplasty procedure and its benefits. It treats pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions. Cumulative 4year mean overall costs after first diagnosis were lower for the balloon kyphoplasty patients percutaneous vertebroplasty. Unlike in vertebroplasty where the cement would go percutaneously or under the skin, the cement is typically.
Kyphoplasty vertebral compression fracture vcf happens when the spine collapses due to osteoporosis or injury, resulting to a humped back and causing severe pain. Kyphoplasty system an overview sciencedirect topics. It is also successful in the treatment of pathologic features from certain metastatic tumors and multiple myeloma. These pieces are available on the hospital marketing kit cd in the folder titled fact sheets. Open correction of resulting deformity by different types of. Percutaneous vertebroplasty and balloon kyphoplasty kce. The balloon will be used to create a void into the vertebra where the cement will eventually be placed. Hold an open house for people in the community to come and learn about osteoporosis and treatments. Kyphoplasty was associated with greater improvements in shortform 36 sf36 physical component summary pcs scores when averaged across the 24month followup period compared with nonsurgical therapy overall treatment effect 3. As a surgical procedure, balloon kyphoplasty is not subject to fda clearance. The kyphon balloon kyphoplasty platform is used to repair vertebral compression fractures vcfs by reducing and stabilizing the fractures. Carefusion, a recent spinoff from health care giant cardinal health. Vertebroplasty and kyphoplasty are of particular interest 1,2,45679 because of their widespread use 10, the close position of the operator to the patient 4, and data suggesting that.
Balloon kyphoplasty is a minimally invasive procedure designed to repair vertebral compression fractures vcfs by reducing and stabilizing the fractures. Balloon kyphoplasty for symptomatic vertebral body. Lieberman, md, mba, frcsc, daisuke togawa, md, phd. Balloon kyphoplasty step by step procedure guide 1. Balloon kyphoplasty is a minimally invasive procedure for the treatment of. Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty rfk, and mechanical vertebral augmentation with kiva are interventional techniques involving the fluoroscopically guided injection of polymethylmethacrylate pmma into a cavity created in the vertebral body with a. In 2005, health canada licensed kyphx inflatable bone tamp kyphon inc. The procedure typically includes the use of a small balloon that is inflated in the vertebral body to create a void within the cancellous bone prior to cement delivery.
You may be bruised or get an infection after the procedure. Vertebroplasty and kyphoplasty in most patients produce im provement in the quality of life because of pain relief, marked figure 3 axial ct view of the vertebra after pmma injection. Efficacy and safety of balloon kyphoplasty in the treatment. Balloon kyphoplasty in the management of vertebral compression.
Kyphoplasty is minimally invasive and can be performed under local or general anesthesia. Vertebroplasty and kyphoplasty are recently developed techniques to treat painful vcfs. Other factors to consider before deciding on kyphoplasty also exist, such as whether the patient is healthy enough for surgery. Those on high deductible health plans or without insurance can shop, compare prices and save. See how the kyphon balloon kyphoplasty and cement delivery system are used to administer the balloon kyphoplasty procedure for vertebral. You may have an allergic reaction to the bone cement. Quick coding tips for vertebroplasty and kyphoplasty aapc.
Percutaneous kyphoplasty, percutaneous vertebroplasty, and. It takes about an hour per fracture level to treat a fracture with balloon kyphoplasty, and the procedure can be done on an outpatient or inpatient basis. Kyphoplasty in osteoporotic vertebral compression fractures. This scale allows the treating physician to combine clinical observations and physical. Compression fractures typically occur in the thoracic region of the spine, which includes the t1 through t12 vertebrae, but may also occur in the. Early and effective treatment fixing the broken bone may reduce the consequences of spinal fractures, especially those associated with other treatments, for example, prolonged. Directed cement flow kyphoplasty for treatment of osteoporotic vertebral compression fractures. Kyphoplasty is an excellent treatment for patients with osteoporotic compression fractures that are failing conservative care or are in debilitating pain. Kyphon balloon kyphoplasty can reduce or eliminate your back pain from a spinal fracture, as well as restore vertebral body height and proper alignment of your spine. Kyphon inflation syringe, which consists of a long tube to keep the clinician out of the. This booklet explains how spinal fractures occur and why kyphon balloon kyphoplasty may be a viable treatment option for you. Balloon kyphoplasty for the treatment of vertebral. For a study to be included in the analysis, at least 80% of the treated vertebral compression fractures had to be related to osteoporosis. This latter study was supplied by the company that owns the system kyphon inc.
Of the studies located, 26 satisfied the inclusion criteria. These spinal fractures can take place at different levels of the spine but most commonly spinal fractures occur in the thoracic and lumbar region of the spinal column the goals of kyphoplasty are to stop the thoracic pain that occurs when the vertebral fracture. Florida orthopedic practices combine, become 150provider supergroup. Other benefits include sustained improvement in mobility, improvement in ability to perform activities of daily living, and improved quality of life. Spinal cord damage may cause you to leak spinal fluid. Learn about the kyphon balloon kyphoplasty procedure and products.
Spinal compression fractures occur primarily in spinal vertebrae that have been weakened by osteoporosis. Kyphon balloon kyphoplasty mortality clinical evidence. Spinal fractures osteoporosis causes more than 700,000 spinal fractures each year in the u. Kyphoplasty is a procedure used to treat vertebral compression fractures and. Vertebral compression fractures that occurred more than 3 months prior to surgery have already started to heal and are unlikely to experience the vertebral height restoration normally associated with kyphoplasty. The affected vertebra has not been extensively damaged and is at least onethird of its original height. Thus, not only does it relieve the pain but it also straightens out the posture of the patient. Kyphoplasty informed consent information introduction.
Description ga 10ga 11ga ga 11ga ga 11ga ga ga 15ga kits vpk1002 kyphon v osteo introducer 10ga trocar kit 1 1 2 vpk011d kyphon v osteo introducer 11ga trocarbevel kit 1 1 1 2 vpk011b kyphon v osteo introducer 11ga bevel kit 1 1 2 vpk0d kyphon v osteo introducer ga trocarbevel kit 1 1 1 2 vpk0b kyphon v osteo introducer. Pdf vertebroplasty and kyphoplasty are wellestablished minimally invasive. Of these, 25 have been published in complete form, and one consists of the case registry corresponding to the formulas submitted to the united states food and drug administration fda 510 kd. Results demographics eightyone patients underwent kyphoplasty during this period table 1. The purpose of this document is to provide written information regarding the risks, benefits, and alternative treatment modalities for kyphoplasty. Spine surgeons debate the value of vertebroplasty and. Percutaneous vertebroplasty and kyphoplasty for painful 10. After the operation, most patients can go home at the same day if they live nearby, unless a couple of vertebroplasty or kyphoplasty complications arise shortly. The growing prevalence of vertebral compression fractures vcfs 44, 52, the confirmation of their serious physiological, functional, and psychological repercussions 23, 32, 38, 46, 48, and a large number of patients refractory to habitual treatment 38, 39, 50 have favored the development of minimally invasive surgical techniques such as balloon kyphoplasty bkthe. Kyphon balloon kyphoplasty is a minimally invasive treatment that can stabilize the fracture and reduce back pain, as well as restore vertebral body height and spinal alignment. Clinical and radiographic results of kyphoplasty with mid. Kyphoplasty vertebroplasty in the office student doctor. Apr 19, 2011 balloon kyphoplasty step by step procedure guide 1.
Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty rfk, and mechanical vertebral augmentation with kiva are interventional techniques involving the fluoroscopically guided injection of polymethylmethacrylate pmma into a cavity created in the vertebral body with a balloon or mechanical device. Kyphoplasty is like vertebroplasty plus percutaneous vertebral augmentation a. The complication rate with kyphon balloon kyphoplasty has been demonstrated to be low. Although complication rates are low for both procedures, major complications, including pulmonary embolism, cerebrovascular accidents, cardiotoxicity, major neurologic deficits, arterial injury, and progressive adjacentlevel fractures have been described. Cancer includes multiple myeloma and metastatic lesions, including those arising from breast or lung cancer, or lymphoma. These spinal fractures can take place at different levels of the spine but most commonly spinal fractures occur in the thoracic and lumbar region of the spinal column. The procedure typically includes the use of a small balloon that is inflated in the vertebral body to create a void within the cancellous. Here are a few ideas to help generate community awareness of osteoporosis, spinal fractures, and minimally invasive treatment options like kyphon balloon kyphoplasty, that your practice offers.
There are few comparative studies regarding morphologic changes after kyphoplasty and vertebroplasty. Download technical manuals for kyphon products from the medtronic manual library. Your doctor may use imaging guidance to inject a cement mixture into the fractured bone vertebroplasty or insert a balloon into the fractured bone. The vertebrae are a series of bones that make up the spine. Spinal fractures kyphon balloon kyphoplasty treatment. The purpose of this study was to compare restoration of vertebral body height and wedge angle and cement leakage with kyphoplasty and vertebroplasty in osteoporotic compression fractures. Percutaneous kyphoplastyvertebral augmentation is a variant of vertebroplasty that is intended to restore the vertebral body height and alignment along with stabilizing the fracture. Kaiser foundation health plan of washington and kaiser foundation health plan of washington options, inc. In case of resulting deformity, sintering and persistent pain vertebral cement augmentation techniques today are widely used.
Kyphoplasty and vertebroplasty produce the same degree of. When one fractures, it can put pressure on surrounding nerves. During the procedure, a balloon catheter is inserted into the vertebra, and inflated using pressurized liquid. Balloon kyphoplasty for spinal fractures medtronic. The intent of both kyphoplasty and vertebroplasty is the same to provide pain relief, says ram mudiyam, md, an orthopedic spine surgeon at hoag orthopedic institute in irvine, calif. Quick coding tips for vertebroplasty and kyphoplasty.
136 704 586 1350 44 1323 934 1038 546 1434 363 1307 563 1273 411 729 729 1038 334 582 653 1504 749 1326 993 1470 1386 563 161 1040 55 559