Indeed, kyphoplasty has been referred to as balloon assisted kyphoplasty. Learn how medtronic balloon kyphoplasty has transformed. Pdf case report describing sacral kyphoplasty in a patient with sacral hemangioma. Balloon kyphoplasty should be restricted to facilities that have sufficient volumes to develop and maintain the expertise required to maximize good quality outcomes. Benign lesions include hemangioma and giant cell tumor. Kyphoplasty system an overview sciencedirect topics. Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty rfk, and mechanical vertebral augmentation. In kyphoplasty, the balloon tamp is first inserted through the needle and the balloon is inflated, to create a hole or cavity. Kyphon balloon kyphoplasty uses orthopaedic balloons to restore vertebral height and correct angular deformity from vertebral compression fractures vcf due to osteoporisis, cancer, or benign lesion. Kyphon balloon kyphoplasty has been shown to reduce or eliminate back pain from a spinal fracture, as well as restore vertebral body height. Pdf kyphoplasty in osteoporotic vertebral compression fractures.
Kyphoplasty for the treatment of vertebral compression. Through a pair of small incisions, each approximately 1 cm in length, the specialty physician uses a needle and cannula to create a small pathway into each side of a fractured vertebral body. Overview balloon kyphoplasty for vertebral compression. After deflating and removing the balloon, a cementlike material is inserted into the. Complications and safety aspects of kyphoplasty for. It is sometimes compared to another vertebral augmentation procedure called vertebroplasty, which may also be performed using minimally invasive techniques. The material hardens quickly, stabilizing the bone. As with vertebroplasty, the effectiveness of kyphoplasty is under debate in the medical community you should discuss. Download the balloon kyphoplasty pdf document here balloon kyphoplasty if you have been diagnosed with a spinal fracturevertebral compression fracture vcf caused by osteoporosis, cancer or benign tumors, balloon kyphoplasty may be a treatment option. Pdf sacral kyphoplasty for relieving pain caused by sacral.
Several trials have compared vertebral augmentation with nonsurgical treatment for vertebral compression fractures. A 3question survey was administered via telephone to patients who had a kyphoplasty procedure performed from 20082011. To assess patient centered outcomes among adults with compression fractures treated by kyphoplasty. Kypon balloon kypoplasty i product catalogue 5 bone access kyphon onestep osteo introducer system, trocar and diamond for direct percutaneous access to the vertebral body. Jun 24, 20 in fiscal year 2015, we anticipate our corevalve transcatheter payment. Patients can often go home the same day after kyphoplasty surgery, returning to normal activity levels quickly. Balloon kyphoplasty is a minimally invasive procedure designed to repair vertebral compression fractures vcfs by reducing and stabilizing the fractures. Vertebral fractures to be treated with this interventional procedure are as. During the kyphoplasty procedure, the cement is introduced in a low pressure manner, since the cement is filling the void in the bone which was created by the balloon.
Balloon kyphoplasty in the treatment of metastatic disease. A randomized trial comparing 2 techniques of balloon. It is a minimally invasive procedure that aims to relieve pain, restore vertebral height, and. Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty rfk, and mechanical vertebral augmentation with kiva are interventional techniques involving the fluoroscopically guided injection of polymethylmethacrylate pmma into a cavity created in the vertebral body with a balloon.
Balloon kyphoplasty ontario health technology assessment series 2004. The ip guidance on balloon kyphoplasty for vertebral compression fractures remains current, and should be read in conjunction with the clinical guideline. Balloon kyphoplasty is a minimally invasive surgical procedure performed to treat one or more vertebral compression fractures vcfs. Cancer includes multiple myeloma and metastatic lesions, including those arising from breast or lung cancer, or lymphoma. One hundred fiftyone patients completed the telephone satisfaction survey. Description balloon kyphoplasty is performed by inserting a balloon like device inflatable bone tamp through a channel created by a hand drill in the fractured vertebrae. Balloon kyphoplasty bkp is a minimally invasive procedure that stablises the vertebral fracture and also provides the opportunity to restore vertebral height and reduce spinal kyphosis 14, 21. Xrays andor a ct scan may be performed at the end of the procedure to check the distribution of the cement. During kyphoplasty kyphon kyph, the balloon and cement are introduced through the pedicle of the vertebrtal body. Bkp was performed using the kyphon inc system medtronic spine llc, sunnyvale, ca, usa, under general anesthesia 12. Stepbystep placement of balloons balloon catheters are inserted into the incisions and into the body of the affected vertebra. Efficacy and safety of balloon kyphoplasty in the treatment. This trial compares the efficacy and safety of balloon kyphoplasty and vertebroplasty. How the balloon works kyphon balloon kyphoplasty is a minimally invasive treatment in which orthopedic balloons are used to gently elevate the fractured vertebra in an attempt to return it to the correct position.
Patients were positioned in prone, on a fourposter frame. Aarp health insurance plans pdf download medicare replacement pdf download medicare benefits pdf download medicare part b pdf download kyphon balloon kyphoplasty medicare reimbursement. A variation of vp, kyphoplasty kp, attempts to restore the height and angle of kyphosis of a fractured. One study of 360 procedures in 222 patients reported 38 cement leaks 11% of procedures, with one resulting in an episode of radiculopathy the patient recovered with selective nerve block and rehabilitation. Apr 10, 2016 aarp health insurance plans pdf download medicare replacement pdf download medicare benefits pdf download medicare part b pdf download kyphon balloon kyphoplasty medicare reimbursement. Ppt kyphon powerpoint presentation free to download. T15j kyphon advanced osteo introducer system t15e advanced diamond drill trocar.
Medinaut kyphoplasty system 510k summary apr 0 4 2914 this summary of 510k safety and effectiveness information is being submitted in accordance with requirements of 21 cfr part 807. Besides conventional vertebral cement augmentation techniques balloon kyphoplasty has become a popular tool to address painful thoracic and lumbar. Treatment of pathologic spinal fractures with combined radiofrequency ablation and balloon kyphoplasty article pdf available in world journal of surgical oncology 71. Balloonrelated complications and technical failures in. The kyphon assist directional cannula is compatible across the medtronic portfolio of balloon kyphoplasty products, including the kyphon xpander ii inflatable bone tamps. Percutaneous balloon kyphoplasty bkp 1 is an interventional radiologic technique that has been used in the treatment of vertebral compression fractures due to various causes such as osteoporosis, metastases, or trauma. Download technical manuals for kyphon products from the medtronic manual library. In this procedure, a doctor inserts and inflates a balloon to create an opening for the mixture. Kyphoplasty and vertebroplasty for the treatment of painful osteoporotic vertebral compression fractures. The kyphoplasty procedure takes about one hour for each vertebra involved. Kyphon balloon kyphoplasty tennessee health and wellness. Balloon kyphoplasty is a minimally invasive procedure for the treatment of painful vertebral fractures, which is intended to reduce pain and improve quality of life.
Bkp kyphon vertebral compression fracture prep kit medtronic. All kyphoplasty was performed using the kyphon balloon kyphoplasty system medtronic spine, llc, sunnyvale, ca, usa. New directional cannula provides more flexibility and. Balloon kyphoplasty is a minimally invasive treatment for spinal compression fractures also called vertebral compression fractures of vcfs. Kyphosis of the spine may compromise the biomechanics of the spine, which in turn predisposes to increased risk of further fractures in the adjacent. This device is implanted in the fractured vertebra via a percutaneous, peripedicular surgical approach. The aim of this study is to evaluate the efficacy and safety of balloon kyphoplasty bk in the management of vertebral compression fractures vcfs.
Balloon kyphoplasty is an effective, minimally invasive procedure for the stabilization of osteoporotic vertebral fractures, leading to a statistically significant reduction of pain status. The staxx fx structural kyphoplasty system is a novel device to be used in kyphoplasty procedures. Kyphon balloon kyphoplasty is a minimally invasive treatment that can stabilize the fracture and reduce back pain, as well as restore vertebral body height and. Kyphopak trays 22 kyphopak trays kyphon express first fracture osteo introducer with cement delivery system kpe1003cds kyphon xpander inflation syringes a08a kyphon cds cement cartridges cc02a kyphon cement delivery gun and bone filler device size 2 cds2a kyphon express osteo introducer system diamond and bevel t34a. Allows for directional control of inflatable bone tamps during a balloon kyphoplasty procedure additional height restoration in a. Kyphon balloon kyphoplasty medicare reimbursement pdf download. Early and effective treatment fixing the broken bone may reduce the consequences of spinal fractures, especially those associated with other treatments, for example, prolonged.
Balloon kyphoplasty for spinal fractures what to expect. Balloon kyphoplasty for spinal fractures medtronic. Bone cements for percutaneous vertebroplasty and balloon. Jul 22, 2015 watch a television ad for kyphon balloon kyphoplasty procedure for spinal fractures. A randomized trial comparing balloon kyphoplasty and. Incidence of fracture in adjacent levels in patients. Balloon kyphoplasty in the management of vertebral compression fractures. Kyphoplasty surgery to treat a fracture from osteoporosis is performed at a hospital under local or general anesthesia.
Bkp was performed using the kyphon inc system medtronic spine llc, sunnyvale, ca, usa, under general anesthesia. Neither vertebroplasty nor percutaneous vertebral augmentation is indicated for. Kyphoplasty patientcentered outcomes via questionnaire daniel carr 1, richard cook 1, doris tong 1,2, matthew bahoura 2, jennifer kanack 1, alicja sobilo 1, stephanie falatko 1, beverly c. Patients with osteoporosis with acute fractures t5l5 were randomized and treated with kyphoplasty n 191 or vertebroplasty n. Olan, in the comprehensive treatment of the aging spine, 2011. Kyphon balloon kyphoplasty orthopaedic treatment of vertebral compression fractures a free powerpoint ppt presentation displayed as a flash slide show on id. Kyphon balloon kyphoplasty can reduce or eliminate your back pain from a spinal fracture, as well as restore vertebral body height and proper alignment of your spine. Stepbystep balloons are inflated the balloons are inflated with a liquid visible under xray guidance inside the collapsed vertebra.
For complete information regarding indications for use, contraindications, warnings, precautions. After reduction, the balloons are deflated and removed. Like vertebroplasty, kyphoplasty injects special cement into your vertebrae with the additional step of creating space for the treatment with a balloon like device b alloon vertebroplasty. Medinaut kyphoplasty system 510k summary apr 0 4 2914. Pdf kyphoplasty patientcentered outcomes via questionnaire. Important safety information is shown at the end of the video. The grohs study compared kyphoplasty head to head with vertebroplasty however, it was small, nonrandomized and unblinded. Medtronic launches kyphon xpander ii ibt system medgadget. After deflating and removing the balloon, a cementlike material is inserted into the cavity through a lowpressure injection.
Other logistics for a typical kyphoplasty procedure are. It treats pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions. Balloon kyphoplasty for vertebral compression fractures nice. Unlike vertebroplasty, kyphoplasty aims not only to secure fracture fixation and stabilization, but also to reconstruct the vertebral anatomy and correct the kyphotic spinal deformity. The kyphon balloon kyphoplasty platform is used to treat pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions. Controversial issues in kyphoplasty and vertebroplasty in.
Survey the included patients were contacted through telephone numbers obtained in the demographic data of their electronic health record. In contrast to kyphons balloon system, a stiff plastic tube. Kyphoplasty of vertebral fractures with kyphos bone. In particular we compare nonsurgical management nsm and kp and vp, in terms of clinical. There is now a treatment option called kyphon balloon kyphoplasty that takes as little as 15 minutes to perform, is a minimally invasive outpatient procedure that can reduce or eliminate back pain, and even increase a persons overall mobility and quality of life. The complication rate with kyphon balloon kyphoplasty has been demonstrated to be low.
Kyphoplasty can restore a damaged vertebras height and may also relieve pain. Kyphon balloon kyphoplasty has been shown to be beneficial for patients in whom restoration of vertebral height is feasible. Learn about the kyphon balloon kyphoplasty procedure and products. Aim of this paper is to give an overview of the state of the art about vertebroplasty and kyphoplasty, discussing the indications. Dec 01, 2004 balloon kyphoplasty is a reasonable alternative to vertebroplasty, although it must be reiterated that this conclusion is based on evidence from level 4 studies. Feb 21, 2011 vertebroplasty is a minimally invasive, nonsurgical therapy used to strengthen a spinal bone vertebra that has been weakened or broken by osteoporosis or, less commonly, cancer. Kyphoplasty kp and vertebroplasty vp have been successfully employed for many years for the treatment of osteoporotic vertebral fractures. Vertebral augmentation percutaneous kyphoplasty amazon s3. Protocol percutaneous balloon kyphoplasty, radiofrequency.
A small balloon is guided through each cannula into the vertebra. However, there remains a risk of bone cement leakage during and after kyphoplasty, especially in cases characterized by vertebral wall destruction. This metaanalysis was aimed to explore the overall safety and efficacy of balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral compression. Characteristic radiological findings for revision surgery after balloon. The system, an upgrade to the popular kyphon xpander ibt, is used for treatment of vertebral compression fractures via the companys proprietary kyphon balloon kyphoplasty procedure. Unlike traditional balloon kyphoplasty, structural kyphoplasty allows for physiciancontrolled fracture reduction. The balloon is then removed and the bone cement is injected into the cavity created by the balloon.
The balloon is removed after the cement is injected. Oct 10, 2011 the overall procedurerelated complication rate for balloon kyphoplasty in the treatment of vcfs due to cancer n92 is statistically significantly lower than the same rate for vertebroplasty in the treatment of vcfs due to cancer n303 0. There are no randomized controlled studies that compared the short and longterm outcomes of kyphoplasty with those of the more conservative standard therapies. Television ad for kyphon balloon kyphoplasty youtube. A special balloon is then inserted through the tube and inflated. Bkp involves the use of a balloon to create a cavity within the cancellous bone, followed with bone. This elevates the fracture, restoring a more natural shape, while also compacting the soft inner bone to create a cavity in the center of the vertebrae. Here are a few ideas to help generate community awareness of osteoporosis, spinal fractures, and minimally invasive treatment options like kyphon balloon kyphoplasty, that your practice offers. Kyphoplasty patientcentered outcomes via questionnaire. The resulting cavity void allows for a controlled deposition of kyphon bone cement which helps form an internal cast. Kyphoplasty and vertebroplasty 6 comparing the kivar system to balloon kyphoplasty in treatment of osteoporotic vertebral compression fractures.
Components of kyphoplasty system products kyphoplasty balloon catheter. Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty rfk, and mechanical vertebral augmentation with kiva are interventional techniques involving the fluoroscopically guided injection of polymethylmethacrylate pmma into a cavity created in the vertebral body with a balloon or mechanical device. Characteristic radiological findings for revision surgery. Percutaneous balloon kyphoplasty in the treatment of pathological vertebral body fracture and deformity in multiple myeloma. Spinal fracture treatment option balloon kyphoplasty. Vertebroplasty is a minimally invasive, nonsurgical therapy used to strengthen a spinal bone vertebra that has been weakened or broken by osteoporosis or. See how the kyphon balloon kyphoplasty and cement delivery system are used to administer the balloon kyphoplasty procedure for vertebral.
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