Talk with your doctor about the risks and benefits of kyphoplasty to determine if it is the right treatment for you. Although rare, bone cement can also leak out of the bone and result in nerve aggravation or injury. These include bleeding, infection and anesthesia-related problems. Kyphoplasty is generally safe, but like any type of surgery, it does have risks. If local anesthesia is used, you will be awake during the surgery but will not feel pain, whereas you will be asleep during general anesthesia. “In just a few minutes, the cement hardens, strengthening and stabilizing the bone to prevent it from collapsing again.”Īlso called balloon kyphoplasty, the procedure may be performed under local or general anesthesia. “Guided by real-time X-ray images, we use a small needle to pass a balloon into the fracture to help restore the height of the collapsed bone, then inject the cement into the space created by the balloon,” says Dr. doi:10.1097/BRS.Kyphoplasty is a minimally invasive surgical procedure that repairs the fractured vertebra using a special type of bone cement. AOSpine Thoracolumbar Spine Injury Classification System: Fracture Description, Neurological Status, and Key Modifiers. Burst compression fracture of the L1 vertebral body is associated with a 35 loss of vertebral body height. Discrimination of Metastatic from Acute Osteoporotic Compression Spinal Fractures with MR Imaging1. Spinal compression fractures in osteoporotic women: patterns and relationship to hyperkyphosis. 29 Topic Podcast Images summary Osteoporotic Vertebral Compression Fractures are very common fragility fractures of the spine that affect up to 50 of people over 80 years old. Created for people with ongoing healthcare needs but benefits everyone. Pain medications and back braces also help. De Smet AA, Robinson RG, Johnson BE et-al. Time: Compression fractures are very painful and time is the usual treatment. Osteoporotic vertebral compression fractures and vertebral augmentation. The treatment of symptomatic osteoporotic spinal compression fractures. Retropulsion (not posterior bulging) of the posterosuperior cortex of the vertebral body Low signal intensity band on T1WI and T2WI indicating a fracture line Preserved normal fatty bone marrow T1WI signal A compression fracture is partial or total. A vertebral body is part of the spinal column (see picture below). In some cases, surgery may be necessary to stabilize the spine. The following features favor the diagnosis of a benign compression fracture: What is a vertebral compression fracture. Treatment for a compression fracture of L1 typically includes rest, ice, and pain medication. Osteoporotic vs pathologicalĭiscriminating between acute osteoporotic fracture and pathological fracture is sometimes challenging. In uncertain cases, MRI signs of edema (acute) and the presence of radiotracer uptake on bone scintigraphy (acute) help decide the age of the fracture. On conventional imaging, acute fracture signs include cortical breaking or impaction of trabeculae in the absence of these signs fractures are chronic. Acute vs chronicĬhronicity of the fracture indicates its temporal relationship with symptoms and hence is an important determination. When in doubt, it is recommended that additional views or studies be advised for confirmation. The vertebral fracture should be diagnosed when there is a loss of height in the anterior, middle, or posterior dimension of the vertebral body that exceeds 20%. This defines the role of the radiologist in making an accurate diagnosis. Vertebral fractures require treatment when they are symptomatic, i.e. with pain and loss of mobility. Osteoporotic spine fractures can be graded with the Genant classification of vertebral fractures based on vertebral height loss as: See: AO spine classification of thoracolumbar injuries. Pincer or split fracture: involvement of both endplates but not the posterior wallīurst fracture: involvement of one endplate (incomplete) or both endplates (complete) and the posterior wall Wedge compression fracture: involvement of one endplate but not the posterior wall PathologyĬompression fractures can result from osteoporosis, trauma or represent a pathological fracture secondary to another process (e.g. Vertebral fractures present with pain and loss of mobility. However, they are largely unreported and are probably more common radiographically (present up to 14% of women older than 60 years in one study 1). person-years after 85 years of age in the United States.
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