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Topic: Kyphoplasty

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	Spinal fracture treatment leads to more fractures (Site not responding. Last check: 2007-10-15)
		In the kyphoplasty procedure, a balloon is used to line up the fragments of the fracture, then an acrylic cement is injected to hold the fragments in place.
		In contrast, for patients not undergoing kyphoplasty after a vertebral fracture, the estimated risk of additional fracture was five percent.
		Kyphoplasty is a relatively new, minimally invasive treatment that effectively reduces pain after vertebral fractures.
	www.wcanews.com /archives/2004/nov24b.htm (321 words)

	Welcome to Oakwood Healthcare System
		Kyphoplasty is a minimally invasive procedure for treating compression fractures, most often caused by osteoporosis.
		Kyphoplasty surgery to treat a fracture from osteoporosis is performed at a hospital under local or general anesthesia.
		Kyphoplasty is occasionally used on acute compression fractures from trauma, but the majority is for the elderly population who have osteoporosis.
	www.oakwood.org /News/news_detail.asp?ID=230 (295 words)

	Untitled Document (Site not responding. Last check: 2007-10-15)
		He had heard about kyphoplasty, which is similar in some respects to a more well-known procedure called vertebroplasty, and attended the University of Texas Science Center at Dallas, where he received training to become one of only five doctors currently performing kyphoplasty in Arkansas.
		But kyphoplasty often offers "instantaneous resolution of pain." Patients are able to return to their normal daily routines immediately, though they should not attempt extremely strenuous activities for some time.
		Kyphoplasty is not usually performed on patients younger than age 45 because compression fractures are more common in older patients and because it is not always advisable to use this particular kind of bone cement for younger patients.
	www.sparks.org /frontpage/media/kyphoplasty.htm (849 words)

	WCA: Kyphoplasty Has Multiple Benefits in Older Patients With Vertebral Compression Breaks (Site not responding. Last check: 2007-10-15)
		"Kyphoplasty and vertebroplasty are promising interventional techniques that reduce pain and improve function in patients with fractured vertebrae due to osteoporosis and other osseous lesions, such as metastases, multiple myeloma, and haemangiomas," Dr. Kapural observed.
		Kyphoplasty involves use of an inflatable bone tamp, approved in the United States in 1998, in the vertebral space prior to injection of bone cement.
		The largest improvement after kyphoplasty, according to the researchers, was in self-care activities such as personal maintenance and ability to perform activities of daily living without help, from an average score of 7.1 to 2.6.
	www.pslgroup.com /dg/243d9a.htm (679 words)

	eMedicine - Vertebroplasty and Kyphoplasty, Percutaneous : Article by Jeffrey P Kochan, MD (Site not responding. Last check: 2007-10-15)
		A related procedure, kyphoplasty, is intended to restore lost height by inflating a balloon tamp within and between the fracture fragments prior to the infusion of methylmethacrylate.
		Kyphoplasty is a refinement of the vertebroplasty procedure.
		Kyphoplasty is most effective with acute compression fractures secondary to either trauma or osteoporosis, but it is not recommended for the treatment of fractures secondary to infection, most solid tumors, and vascular lesions.
	www.emedicine.com /radio/topic871.htm (3215 words)

	Kyphoplasty (Site not responding. Last check: 2007-10-15)
		Kyphoplasty is a new technique in vertebral compression fractures that involves an introduction of a cannula into the vertebral body followed by the insertion of an inflatable balloon.
		In addition, the inflation of the balloon itself in the kyphoplasty procedure can also lead to some increase in the vertebral body height and therefore correction of the abnormal configuration of the vertebral body that existed as a result of the fracture.
		Injection under low pressure in kyphoplasty has the advantage of decreasing the rate of leakage of polymethylmethacrylate either into the spinal canal or into the draining veins of the vertebral bodies.
	www.neurosurgery.pitt.edu /spine/minimal/kyphoplasty.html (291 words)

	Vertebroplasty and Kyphoplasty \| Mayfield Clinic
		Vertebroplasty and kyphoplasty are minimally invasive procedures performed to treat vertebral compression fractures (VCF) of the spine.
		The benefit of kyphoplasty is that your vertebra is returned to normal position before the bone hardens thereby reducing your pain.
		In kyphoplasty, a balloon is first inserted and inflated to expand the compressed vertebra to its normal height before filling the space with bone cement.
	www.mayfieldclinic.com /PE-Kyphoplasty.htm (2024 words)

	Frequently Asked Questions (Site not responding. Last check: 2007-10-15)
		Kyphoplasty can be performed using either local or general anesthesia; the physician will recommend the most appropriate anesthesia based on the patient’s general condition.
		Although Balloon Kyphoplasty is designed to minimize these risks as much as possible, there is a chance that complications could occur.
		Balloon Kyphoplasty has been shown to improve mobility and enable patients to return to everyday activities such as walking, bending and lifting, with significantly less pain than they had prior to the procedure.
	www.kyphon.com /patients/FAQs.cfm (1692 words)

	Interventional procedures consultation document - Balloon kyphoplasty for vertebral compression fractures (Site not responding. Last check: 2007-10-15)
		In general, balloon kyphoplasty is indicated in patients with recent fractures and curvature of the spine.
		Balloon kyphoplasty is performed by inserting a balloon-like device (inflatable bone tamp) through a channel created by a drill in the fractured vertebra.
		Balloon kyphoplasty is essentially a modification of vertebroplasty; it differs from vertebroplasty in that a balloon is used to create space prior to injection of cement.
	www.nice.org.uk /page.aspx?o=76529 (923 words)

	Percutaneous Vertebroplasty and Kyphoplasty
		A variant of vertebroplasty is percutaneous kyphoplasty, which uses a specialized bone tamp with an inflatable balloon.
		Percutaneous vertebroplasty or kyphoplasty for the treatment of pain associated with osteoporotic fractures, osteolytic vertebral metastasis or myeloma, or vertebral hemangioma is considered medically necessary if the medical appropriateness criteria are met.
		Percutaneous vertebroplasty or kyphoplasty for the treatment of pain associated with all other conditions/diseases including, but not limited to, traumatic vertebral fractures and vertebral eosinophilic granuloma is considered investigational.
	www.bcbst.com /MPManual/Percutaneous_Vertebroplasty.htm (1456 words)

	NASS-New Technologies-Percutaneous Vertebral Augmentation
		Kyphoplasty is a new minimally invasive surgical technique for treating fractures of the spine that occur due to osteoporosis, usually in postmenopausal women.
		Kyphoplasty uses a two-step process of inserting of a special balloon device into the compacted vertebrae to attempt to restore the vertebrae to a more normal shape.
		Kyphoplasty is a new therapy and long-term results are not known, nor are the effects of the therapy on the surrounding vertebrae.
	www.spine.org /articles/NT_Percu_Vert_Aug.cfm (611 words)

	Compression fracture fix: Shutting out pain and restoring bone height with a little cement (Site not responding. Last check: 2007-10-15)
		A patient undergoing kyphoplasty lies face down and is given a local anesthetic to numb the back.
		Kyphoplasty works best for vertebral compression fractures, which are usually due to osteoporosis in postmenopausalwomen and elderly people of both sexes, Deen says.
		Kyphoplasty is limited to treating the lumbar (lower) and bottom half of the thoracic (middle) spine.
	www.mayoclinic.org /checkup-2003/march-fracture.html (555 words)

	Clinical Efficacy of Vertebroplasty and Kyphoplasty
		The mechanism of pain relief is not clear, and it is suspected that the cement increases the stiffness of the vertebral body and load bearing capacity and thereby limits micromotion and resultant pain (12).
		Kyphoplasty is the newer of the 2 procedures, and, as such, there are fewer published reports.
		In a multicenter kyphoplasty study with 340 patients and 376 kyphoplasty procedures, 90% of the patients reported pain relief (12).
	www.arthritis.org /research/Bulletin/Vol52No2/Clinical.asp (392 words)

	Vertebroplasty and Kyphoplasty: Treatment for Compression Fractures Resulting from Osteoporosis
		Kyphoplasty is another promising treatment for patients immobilized by the painful vertebral body compression fractures associated with osteoporosis.
		Like vertebroplasty, kyphoplasty is a minimally invasive procedure that can alleviate up to 90 percent of the pain caused by compression fractures.
		While vertebroplasty and kyphoplasty are encouraging developments, it remains essential that osteoporosis sufferers seek medical help and learn about ways to treat their condition as well as ways to prevent future problems.
	www.spineuniverse.com /displayarticle.php/article1525.html (820 words)

	vertebroplasty - kyphoplasty - surgery
		With vertebroplasty the cement is injected into the collapsed vertebral body, whereas with kyphoplasty (kyphon - kyph), the vertebral body is first opened up or reduced, by the use of a balloon on each side of the vertebral body.
		During kyphoplasty (kyphon - kyph), the balloow and cement are introduced through the pedicle of the vertebrtal body.
		This is because, when the cement is introduced during either technique (vertebroplasty and kyphoplasty (kyphon - kyph)), it may leak back into the spinal canal, and impinge on the spinal cord or nerve roots.
	backpainforum.com /surgery_kyphoplasty.htm (287 words)

	Techniques of Vertebroplasty and Kyphoplasty
		Kyphoplasty grew out of vertebroplasty and follows a similar procedure with an additional step (Figure 1).
		With either vertebroplasty or kyphoplasty, the patient remains in a supine position for 1 to 2 hours after the procedure in order for the PMMA cement to “cure.” During this curing, there is an exothermic reaction that polymerizes the cement.
		Local tissue damage due to the heat has been reported but only anecdotally, and it is not clear if this can result in unwanted side effects or perhaps be a mechanism of pain relief due to changes in sensory nerve fibers (4).
	www.arthritis.org /research/Bulletin/Vol52No2/techniques.asp (635 words)

	AAOS: Early Results Show Kyphoplasty Safe for Osteopenic Vertebral Compression Fractures (Site not responding. Last check: 2007-10-15)
		DALLAS, TX -- February 15, 2002 -- Kyphoplasty appears to be a safe and effective technique for treatment of osteopenic vertebral compression fractures, according to a study presented here yesterday at the 69th Annual Meeting of the American Academy of Orthopedic Surgeons.
		Kyphoplasty is a percutaneous procedure in which a balloon tamp is inserted and inflated in the fractured vertebral body to restore vertebral height, while creating a cavity to be filled with cement.
		The research team followed 39 consecutive patients with a mean age of 73 years who underwent the procedure in the operating room, the majority under general anesthesia.
	www.pslgroup.com /dg/214B2A.htm (491 words)

	GAMC: A Cure for Spine Injuries (Site not responding. Last check: 2007-10-15)
		Vertebroplasty and kyphoplasty are non-surgical procedures in which the physician injects bone cement between broken pieces of one or more of the vertebrae in order to stabilize them.
		Kyphoplasty goes one step further, using a tiny surgical balloon like a jack to lift the sections of the broken bone up and restore them as closely as possible to their original position.
		In kyphoplasty, before the cement is injected, the surgeon inserts a small balloon between the broken bones and inflates it.
	www.glendaleadventist.com /content/your_health/medical_minute/spine.asp (612 words)

	Percutaneous Vertebroplasty and Kyphoplasty (Site not responding. Last check: 2007-10-15)
		Percutaneous kyphoplasty is identical in concept to percutaneous vertebroplasty, except that an inflatable bone tamp with an inflatable balloon is used to expand a collapsed vertebral body as close as possible to its natural height before introducing the mechanical fixation in injecting PMMA into the expanded cavity.
		The mechanism of action of vertebroplasty or kyphoplasty is unknown; necrosis of tumor or destruction of nerve endings in adjacent healthy tissue may be caused by mechanical, vascular, chemical and or thermal changes due to heat produced during PMMA hardening.
		Percutaneous vertebroplasty or kyphoplasty may be considered MEDICALLY NECESSARY as a treatment of acute vertebral compression fractures secondary to osteoporosis, trauma or other etiologies not related to malignant disease in patients who have failed an adequate trial of conservative therapy including analgesics or bracing.
	www.bcbsmo.com /medical_policies/surgery/vertebroplasty_kyphoplasty.htm (912 words)

	Kyphoplasty
		Kyphoplasty is a minimally invasive spinal surgery procedure.
		The kyphoplasty procedure involves the use of a balloon to restore the vertebral body height and shape.
		Kyphoplasty is associated with excellent pain relief due to the vertebral body collapse.
	orthoinfo.aaos.org /fact/thr_report.cfm?Thread_ID=470&topcategory=Spine (736 words)

	Kyphoplasty LCD Rev. 3 (Site not responding. Last check: 2007-10-15)
		Kyphoplasty is a minimally invasive procedure, which is primarily for the treatment of compression fracture of a vertebral body.
		Prior to kyphoplasty, diagnostic imaging is performed to assess areas of concern.
		Kyphoplasty and vertebroplasty should not be performed at the same time.
	www.ghimedicare.com /lmrp2/os002w03.html (1214 words)

	Investor's Business Daily: Breaking News
		The poster concluded that the procedure is associated with early and sustained clinical improvement in pain and function in patients with vertebral body collapse.
		"Kyphoplasty provides an important therapeutic alternative to those patients who have few options when debilitated by pain and are immobile due to the ramifications of spinal fractures.
		The prospective study of 138 fractures in 108 patients with a mean follow-up of over 15 months concluded that kyphoplasty decreases the severity of deformity in fractured vertebral bodies.
	www.investors.com /breakingnews.asp?journalid=21561115 (770 words)

	Kyphoplasty: A New Treatment for Osteoporotic Vertebral Compression Fractures
		Kyphoplasty is an innovative technique that combines vertebroplasty with balloon catheter technology developed for angioplasty.
		Vertebroplasty, from which the kyphoplasty technique evolved, was developed in response to limited results of medical and surgical modalities to stabilize and strengthen collapsed vertebral bodies.
		Kyphoplasty is well tolerated and is associated with statistically significant improvements in pain and function.
	www.spineuniverse.com /displayarticle.php/article1912.html (425 words)

	Kyphoplasty (Site not responding. Last check: 2007-10-15)
		Kyphoplasty, similar to vertebroplasty, is a procedure designed to relieve back pain caused by compression fractures of the thoracic and lumbar spine that have failed to heal normally.Non-traumatic compression fractures of the vertebrae are most often seen in the elderly population and are usually the result of severe weakening of the bone from osteoporosis.
		Kyphoplasty differs from vertebroplasty in that the compressed, fractured bone is also moved, known as fracture reduction.
		Kyphoplasty is generally performed using a local anesthetic in conjunction with heavy sedation, administered by an anesthesiologist or nurse anesthesist.
	www.cdiradiology.com /cdi/tectrix/program/content/42/557.php (569 words)

	Kyphoplasty (Site not responding. Last check: 2007-10-15)
		Kyphoplasty is a procedure designed to relieve back pain caused by compression fractures of the thoracic and lumbar spine that have failed to heal normally.
		Kyphoplasty is generally performed using a local anesthetic in conjunction with heavy sedation, administered by an anesthesiologist or nurse anesthetist.
		Kyphoplasty generally requires admission to the hospital, although actual hospital stay is usually around 24 hours, depending on the patient’s condition and the number of fractures that are treated.
	www.cdiradiology.com /cdi/tectrix/program/content/141/560.php (499 words)

	HGSA Medical Policy: S-133 - Kyphoplasty (Site not responding. Last check: 2007-10-15)
		Kyphoplasty is a minimally invasive procedure used to treat acute vertebral fractures involving crushed or collapsed bone.
		Kyphoplasty is a minimally invasive procedure performed with an inflatable bone tamp device used for the reduction of acute vertebral body compression fractures (VCF) and/or creation of a void in cancellous bone.
		Kyphoplasty is indicated for painful osteoporotic vertebral fractures of the spine.
	www.hgsa.com /professionals/policy/s133.html (1403 words)

	PRESS RELEASE OR-Live.com Presents: Minimally Invasive Kyphoplasty Procedure for an Osteoporotic Vertebral Compression ... (Site not responding. Last check: 2007-10-15)
		The kyphoplasty procedure includes the use of an inflatable bone tamp for use in reducing fragility fractures to help them heal and creating a cavity in the soft inner bone in the vertebral body.
		Prior to injecting the cement-like material, a special balloon is inserted and gently inflated inside the fractured vertebrae, to restore height to the bone thus reducing deformity of the spine.
		"The goals of the kyphoplasty procedure are to stop the pain caused by the bone fracture, stabilize the bone, and to restore some or all of the lost vertebral body height due to the compression fracture while minimizing risk to the patient," he says.
	www.marketwire.com /mw/release_html_b1?release_id=94091&tsource=3 (460 words)

	KYPHOPLASTY (Site not responding. Last check: 2007-10-15)
		Kyphoplasty should only be performed after consideration of the following factors: the full extent of underlying disease, the spinal level involved, the severity of pain, previous treatments and results, the patient's neurological condition, general state of health, and life expectancy.
		Kyphoplasty performed in the treatment of kyphosis without fracture is contraindicated and cannot be covered by Medicare.
		Kyphoplasty performed solely because of secondary complications of kyphosis, (e.g., reduced pulmonary function) cannot be covered by Medicare.
	www.gamedicare.com /Policies/347.htm (1518 words)

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