Dr Adriaan Liebenberg My Spine Lumbar | Page 147

CHAPTER 23 KYPHOPLASTY AD VERTEBROPLASTY (This is the section that explains the detail of the operation or procedure above and should be read in conjunction with the chapter Your Back Operation). The treatment of vertebral compression fractures historically revolved around bed rest, analgesic medication and the use of a brace (corset) for extended periods. Spinal compression fractures can take up to 6–18 months to heal and in some cases might never heal. In some patients the pain becomes tolerable after 1–2 months despite the fact that the fracture has not healed. Where the use of steroids is the cause of the spinal fractures, the patient often presents with multiple vertebral fractures, severe collapse and extensive complications without treatment. A painful fracture that has not healed can qualify for oper- ative treatment if the MRI scan reveals that the fracture has not healed. This means that some fractures can still be surgically treated after a year. Kyphoplasty and Vertebroplasty are minimally invasive procedures to main- ly, but not exclusively, treat osteoporotic and metastatic vertebral compres- sion fractures of the spine and sacrum. These procedures are performed to sta- bilise the bodies of the collapsed (fractured) vertebrae and restore the height of the vertebrae. 147