Difference Between Kyphoplasty and Vertebroplasty

The two most common forms of vertebral augmentation procedures are vertebroplasty & kyphoplasty. Such procedures are used to cure vertebral compression fractures, alleviate backache, and try to prevent further implosion. Both vertebroplasty & kyphoplasty seem to be minimally invasive processes that involve implanting cement into a fractured vertebra to stabilize the spinal column.

Kyphoplasty vs Vertebroplasty

The main difference between Kyphoplasty and Vertebroplasty is many in terms of numbers. The most significant difference between these is based on the success rate of the surgeries. The surgery of kyphoplasty is categorized between 1 and 3 yrs. 85.2% is a proven success rate whereas 59.9% is for 3 yrs class whereas Vertebroplasty has a success rate of 73-90 percent.

Kyphoplasty vs Vertebroplasty

Kyphoplasty is a type of surgery that is used to cure fractures in the spinal cord. These fractures are small cracks in a large mass of bone which is the most important part of an individual. The spinal cord is configured to the whole stability of an individual. So, the healing of these fractures is a must.

Vertebroplasty is a type of surgery that also helps in curing the fractures related to the vertebral column of a human being. In this procedure, the area is numbed to reduce the sensations and then a balloon is inserted into the crack. During this procedure, cement is used to seal the area and reduce the pain suffered by the individual.

Comparison Table Between Kyphoplasty and Vertebroplasty

Parameters of ComparisonKyphoplastyVertebroplasty
Success Rate1 and 3 years,85.2% and 59.9%, respectively73 to 90 percent
Time taken1-2 hrs1 hr
RecoveryPain relief will be immediate for some patientspain relief within 24 to 48 hours
DisadvantageBone cement leakage, Paralysis, Pain persists or worsen.Hemorrhaging, Blood loss, Fractures of ribs or other nearby bones, Fever.
AdvantageSignificant and sustained reduction in back pain, Sustained vertebral body height restoration, Significant and sustained improvement in quality of life.effective and safe procedure

What is Kyphoplasty?

Many elements of kyphoplasty seem to be comparable to those of vertebroplasty. Both in processes, you are fully conscious but not in pain. A main distinction between the two would be that Doctor first involves inserting a blimp into the rupture space in kyphoplasty. The doctor inflates the blimp to raise the crumbled vertebrae. The balloon’s stress elevates the spine. This same existence of the balloon as well compels the gentle internal parts of the bone upwards, squishing it and forming a steady cavity inside the recently opened space.

The pocket is then filled with PMMA by the doctor. This same cement not just to fills & stabilizes the rupture, but also restores the quantity and height lost due to contraction. Both processes take less than an hour for every vertebra treated. You may have to wait hours before actually returning home. Healing begins within just a few days but can last up to 6 weeks.

Kyphoplasty is indeed the minimal intrusive interference that is effective for the treatment of VCF that has not responded to conservative therapy; it provides immediate pain medication and improves hurt on VAS, life quality, and pulmonary function. Even though it is a mildly invasive technique, it does have difficulties, which should be considered.

Secondary shatter to vertebrae along each, as well as secondary due to cement leakage inside the intervertebral disc, which is most frequent in kyphoplasty. It is associated with a greater incidence of cardiac death than vertebroplasty. Spondylitis infected with extradural abscess just at operated vertebrae location. An analysis revealed that surface-level wound infection, like any invasive surgery, occurred within 10 days of KP.

What is Vertebroplasty?

If you are experiencing pain or lack of mobility as a result of gentle stress fractures, you could be an applicant for vertebroplasty. This same faster and easier of the 2 methods is vertebroplasty. Vertebroplasty, instead of trying to restore height to one broken spine, seals the fractures & stabilizes your bones.

The doctor will first take X-rays as well as other imaging tests to identify the location of your stress fractures, as he does with kyphoplasty. After receiving sedation and anesthetics to relieve the pain, users lie prone just on the examination table while Doctor inserts a thin needle into the compression fractured vertebra.

The needle is guided straight to the rupture by the doctor using fluoroscopic guidelines. She after which gradually injects a particularly unique cement known as polymethylmethacrylate (PMMA) into the fracture to tight and stabilize it. To fill the remaining space, this same doctor may have to administrate over one injection. Vertebroplasty stabilizes your vertebrae, allowing you to move freely even without pain. However, since it does not restore height to a crumbled vertebra, it is only appropriate for straightforward or hairline fractures.

The most serious side effect of a vertebroplasty process is the inadvertent injection of PMMA outside of the vertebral bone. Immediate interaction with the nerve endings or spinal cord may result in nerve injury. If indeed the cement is exerting pressure on the spinal column or nerves, surgical resection may be required. If too much cement reaches the spinal canal, say more than 5cc/mL, it can end up causing spinal injuries and paresis. High-quality scanning, on the other hand, will detect any such leakage before they become big enough to cause severe problems.

Main Differences Between Kyphoplasty and Vertebroplasty

  1. In case of Kyphoplasty the confirmed hit rate is 85.2 percent, whereas the 3-year class has a 59.9 percent success rate, and vertebroplasty has a rate of success of 73-90 percent.
  2. The time required for attempting Kyphoplasty is 1-2 hrs whereas Vertebroplaasty takes 1 hour as for the procedure of surgery.
  3. The recovery of pain in kyphoplasty is instant after the surgery whereas Vertebroplasty takes 24 to 48 hours in pain relief after surgery.
  4. The advantages of Kyphoplasty are Significant and sustained reduction in back pain, vertebral body height restoration, and sustained improvement in quality of life whereas Vertebroplasty effective and safe procedure.
  5. The disadvantages of Kyphoplasty can be bone cement leakage, Paralysis, Pain persists or worsens whereas disadvantages of Vertebroplasty Hemorrhaging, Blood loss, Fractures of ribs or other nearby bones, Fever.

Conclusion

Mis-happening happens and can affect for so long that it can impact an individual life for years. This mishappening can include fractures, nerve breakages, serious injuries, etc. Some get healed easily whereas some needs medications, specialized opinions, and surgeries.

They are very crucial and must procedure which can be taken seriously because sometimes these are matter of life and death or lifetime disabilities. All the details should be known and decided with concerns after knowing all the advantages and disadvantages of treatment. They can be a blessing if a healing procedure gets successful but can make other serious issues in case of failures.

References

  1. https://journals.lww.com/spinejournal/Abstract/2006/11010/Balloon_Kyphoplasty_and_Vertebroplasty_for.19.aspx
  2. https://journals.lww.com/spinejournal/Abstract/2001/07150/New_Technologies_in_Spine__Kyphoplasty_and.2.aspx
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