![]() Nguyen received his training in neurosurgery in a highly sought after residency program at Beaumont Health in Detroit. The PMMA will mend the fractured pieces together and therefore stop motion at these fracture segments which is responsible for the pain. This “cement” is polymethlymethacrylate or PMMA. A cavity is created within the vertebral body and a synthetic medical grade “cement” is introduced. The kyphoplasty is done under xray or fluoroscopy in order to guide the needle into the correct location. My patients will come into the office for the procedure and leave after the procedure. ![]() No general anesthesia is used to ensure quicker recovery and a same day procedure as well as avoids all the risk factors and side effects that accompany general anesthesia. Kyphoplasty is a minimally invasive procedure that I do in the office with a local numbing medication. If the back brace and conservative management is not reducing the amount of pain to satisfaction, then a discussion regarding a kyphoplasty should be undertaken. A back brace also serves to reduce repetitive “microfractures”. Bracing is employed to decrease motion at the fracture which is responsible for inducing pain. We will do a trial of conservative management as surgery should be a last resort. As compression fractures are usually stable, I typically like to treat these with bracing and analgesics. Kyphoplasty is a minimally invasive spine procedure for treating compression fractures. Compression fractures can be very painful with associated point tenderness. ![]() This will commonly have an appearance of wedging on X-ray. Nguyen What is a compression fracture?Ī compression fracture is a fracture involving the front third of your vertebral body. Take extra precautions if you are older or have osteoporosis.Vertebral Compression Fractures: Bracing vs Outpatient Kyphoplasty “We would put a needle into the vertebral body and inject cement, which helps reduce the pain associated with particularly stubborn fractures,” says Dr. In rare cases in which pain continues longer than three months, you might need a procedure, such as a vertebroplasty, which requires a small incision, adds Dr. We also give them a brace to prevent the compression fracture from progressing and to improve function during the fracture healing.” ![]() Then, restrictions are usually discussed with the patient, such as not doing any repetitive bending or twisting, or lifting anything more than 20 pounds for three months. “We first get an X-ray to confirm the diagnosis. “The good news is that, unlike with a hip fracture, which needs surgical intervention, a compression fracture can be treated nonsurgically,” Dr. The spine injury might include fractures, which are breaks in the vertebrae (the bones of your spinal column)-the most common of which are called vertebral compression fractures. “A common trauma accident we see is an elderly person who slips on the ice and then falls on their back or buttock it might result in a hip, wrist, or ankle fracture-or even a spine injury.” “If you can’t get someone to shovel or clear your driveway, make sure you put down salt for ice and wear boots that are made for walking on ice, such as ones with slip-resistant soles or metal spikes,” he says. It may seem obvious, but the first rule is to simply be careful when there’s any ice on the ground, Dr.
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