Outpatient Surgery Magazine

Unsung Heroes - November 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1183510

Contents of this Issue


Page 62 of 146

with non-displaced, compressive eggshell-like fractures. There are potential drawbacks to the technique. The cement solidifies the fracture and prevents further collapse, but also makes the bone harder than adjacent vertebrae, which are therefore more likely to fracture. Balloon kyphoplasty was developed to address the inherent draw- backs of vertebroplasty, a balloon is slid into the fractured vertebrae and expanded to correct the deformity before the cement is injected into the space. "Studies have shown that long-term correction of the deformity is ineffective, and the vertebrae will continue to collapse, resulting in further fracturing and recurrent pain for the patient," says Dr. Jacobson. Additionally, because the balloon makes a bigger hole in an eggshell fracture, surgeons must add more cement, which hardens the vertebrae and increases incidences of adjacent fractures. To solve that issue, attempts have been made to place structural sup- port inside the vertebrae before injecting the cement. The most recent is a titanium implant that resembles a car jack. Surgeons implant the device, and open it up to expand the fractured vertebrae before the cement is injected and holds the device open. Long-term studies have shown that the device maintains deformity correction with better pain control and less risk of adjacent fractures than previous treatments. It's particularly effective in the treatment of vertebrae fractures at the junction between the ribs and the lumbar region, where there's higher risk of deformity and continued collaps- ing due to the body's natural movements. The device effectively maintains spinal height and deformity correc- tion with less risk of adjacent fractures, representing a natural pro- gression from earlier structural support devices, which tended to be more difficult to implant. N O V E M B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 6 3

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Unsung Heroes - November 2019 - Subscribe to Outpatient Surgery Magazine