Vertebroplasty and kyphoplasty are minimally invasive procedures used to treat vertebral compression fractures, typically caused by osteoporosis, trauma or cancer. Both procedures involve the injection of a special bone cement into the fractured vertebra to stabilise it and relieve pain. Kyphoplasty is a variation that includes the added step of inflating a balloon to restore the vertebra's height before the cement is injected. These procedures are aimed at improving mobility, reducing pain and preventing further spinal deformities.
The primary symptom treated by vertebroplasty and kyphoplasty is severe back pain resulting from a compression fracture in the spine. This pain is typically sudden, sharp and worsens with movement. Other symptoms may include limited mobility, difficulty standing or walking, and a visible curvature of the spine (kyphosis). In some cases, fractures caused by tumours can also result in neurological symptoms, such as numbness or weakness.
Diagnosis is typically made through a combination of clinical evaluation and imaging. X-rays or MRI scans are used to identify the location and severity of the vertebral fracture. A CT scan may also be performed to assess the fracture in more detail and rule out underlying conditions like tumours or infections. The severity of pain and functional limitations also help determine if vertebroplasty or kyphoplasty is appropriate.
Both vertebroplasty and kyphoplasty are performed under local anaesthesia with sedation. Both procedures are effective in reducing pain and improving function, with most patients experiencing immediate relief. Follow-up care includes monitoring for potential complications, such as cement leakage or new fractures.
Care of the Critically Ill Surgical Patient (CCrISP) is a two-day, interactive course, which includes mandatory, pre-course e-learning. It covers the practical skills and knowledge that health care professionals need to effectively care for surgical patients, including those who are deteriorating or at risk of doing so.