SPINAL SURGERY

in Hull and East Yorkshire

GEORGE SPINK FRCS (Neurosurg.) BSc Hons

 

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VERTEBROPLASTY / KYPHOPLASTY

Vertebroplasty or balloon kyphoplasty should be considered for patients with collapse of a vertebral body causing mechanical pain resistant to painkillers. The most common cause for this is osteoporosis. Some spinal fractures and spinal tumours can also cause these symptoms and may improve with this treatment. Patients considered candidates for this treatment are discussed at a multidisciplinary team meeting involving a spinal surgeon, a neuroradiologist an oncologist and an endocrinologist.

                                                                

Using percutaneous minimal access techniques a needle is passed into the affected vertebral body using x-ray guidance. In balloon kyphoplasty a cavity is created by carefully inflating a small balloon. This allows special bone cement to by injected under a very low pressure (to avoid causing any further damage or leakage). The bone cement stabilises the collapsed vertebral body and in most patients improves their pain control.

As the operation is carried out under local anaesthetic most can be done as a day case procedure. As a relatively new technique there is NICE (National Institute for Clinical Excellence) guidance published by the government regarding its use, please click here for details.