Bone cement injection (vertebroplasty) is a safe, effective and affordable treatment for patients with an osteoporotic compression fracture of the spine. Kyphoplasty is a highly effective modern minimally invasive surgical procedure for the treatment for compression fracture of the spine in Delhi.
Compression Fracture of The Spine
Most fractures occur in older people with fragile bones, another cause of fractures is osteoporosis, which is often not diagnosed. Fractures usually occur due to normal activity or accidental damage, for example, a person stumbled or fell unsuccessfully. A weakened bone is not capable of supporting the weight placed on it.
Most spinal fractures occur imperceptibly and then fuse on their own, without causing severe pain and without causing disability. Only in some cases does a fracture make itself felt with acute pain and inability to move.
Treatment of Compression Fracture of the Vertebrae
Standard treatment for compression fracture of the spine in Delhi includes pain medication, increasing physical activity, and wearing a supportive corset. Even when the fracture is cured, there is a risk of new damage, so it is important to diagnose and treat osteoporosis on time.
To relieve pain during fracture of the spine, two types of minimally invasive procedures are performed by the spine surgeon in Delhi:
- vertebroplasty
- kyphoplasty
These procedures are usually resorted to in case of acute pain that does not go away after several weeks of taking painkillers and wearing a corset.
Both vertebroplasty and kyphoplasty represent the cementation of a damaged vertebra through a tiny incision on the skin, performed under visual x-ray control.
Treatment without surgery?
Prior to kyphoplasty and vertebroplasty surgery in Delhi, the combination of time, medicine, and relaxation was considered the gold standard for treating compression fractures of the spine. A compression fracture successfully heals in most cases within three months, therefore, as a rule, doctors evaluate the patient’s condition after this period.
However, if the patient experiences acute pain that does not allow him/her to function normally, the question arises of using kyphoplasty or vertebroplasty. For mild or moderate pain, the patient is advised to wait three months before deciding on a surgical procedure.
VERTEBROPLASTY
Vertebroplasty surgery in Delhi is an operation to strengthen a damaged or repair a destroyed vertebral body by introducing special cementing mixtures. Usually they are slightly warmed up after administration, partially cauterizing the formed cavity, then polymerize (solidify). The needle is inserted under CT control or under fluorographic control. Also, with the help of an X-ray, the doctor monitors how bone cement spreads and fills the vertebral body.
KYPHOPLASTY
In case of kyphoplasty surgery in Delhi, a special compressed elastic balloon is introduced before the cement mortar is also injected, which, under radiological control, is filled with an X-ray positive fluid. Thus, the balloon, inflating, restores the normal shape of the vertebra, eliminating its deformation. Then the balloon is removed, and the cavity formed is filled with special cement. This manipulation is necessary when the vertebra is substantially deformed by a fracture or tumor.
Kyphoplasty is usually performed under general anesthesia in the operating room, and in some cases under local anesthesia.
Among the advantages of kyphoplasty is the ability to restore the height of the vertebra and reduce the risk of bone cement expiration.
BALLOON KYPHOPLASTY
Kyphoplasty surgery in Delhi helps in cases of severe collapse of the damaged vertebra with the front part of the spine moving forward. Correcting the position of a broken vertebra, kyphoplasty aligns the spinal column and prevents the development of kyphotic deformation (hump formation). Kyphoplasty prevents further spinal deformity in people with multiple fractures.
In 90% of cases, the procedures successfully cope with the tasks of easing pain in damaged vertebrae. Kyphoplasty surgery in Delhi is more effective for the collapse of the vertebrae if it is performed within six weeks from the moment of fracture.
Also, these operations are performed in case of destruction of the vertebrae due to the development of metastases or osteoporosis.
CONTRAINDICATIONS TO VERTEBROPLASTY AND KYPHOPLASTY
Among the contraindications to operations are the following:
- allergy to components of bone cement;
- acute infectious process, including osteomyelitis;
- clotting pathology;
- some types of deformations and / or fractures when there is a change in the shape of the spinal canal.
PREPARATION FOR VERTEBROPLASTY AND KYPHOPLASTY
The risk of developing postoperative complications is reduced by careful preoperative preparation. It is necessary to have a general picture of the disease: establish a neurological status, in case of suspected damage to the posterior wall of the vertebral body, determine the degree of its destruction, examine the state of the cortical layer, etc. In addition, the surgeon must determine with maximum accuracy the trajectory of the needles during the operation, the level of compression ( if we are talking about multiple lesions of the spine).
The patient should undergo a series of studies, among which are usually required:
- clinical blood test;
- blood chemistry;
- coagulogram;
- CT
- MRI
- radiography in two projections.
OPERATION PROGRESS
- Both operations are actually carried out by injection.
- Both local and general anesthesia are used.
- Clinical surgeons and veterinologists perform intraoperative control of manipulations using the C-arm system and a Philips computer tomograph. They allow not only to correctly identify the affected vertebra, but also to track its change during manipulations.
- The manipulation itself lasts no more than an hour, usually about 40 minutes.
- After surgery, rest is recommended for 1-2 hours, which the patient spends in a comfortable ward of the hospital under the supervision of medical staff.
- Already on the day of surgery, the patient can return home, and the next day – to normal life.
EFFECTS OF SURGICAL TREATMENT
- the normal anatomical shape of the vertebra and the spine as a whole is restored,
- asymmetry of posture is eliminated,
- the cause of compression of the nerves and the pain syndrome disappears, the pain disappears in 80% of cases a day or two after the operation,
- the work of the corresponding internal organs is normalized, the innervation of which before the operation was disrupted due to compression by a pathologically altered vertebra.
In the presence of back pain, the appearance of “goose bumps”, numbness, hyperesthesia of skin areas, consult a neurologist immediately.