PROCEDURE: KYPHOPLASTY LUMBAR W/IMAGING
INDICATION: [ ] y.o. [ ] with a painful osteoporotic compression fracture of the [ ] vertebral body, refractory to standard medical therapy.
OPERATOR: Nasser Razack, M.D. J.D.
RADIATION EXPOSURE-DAP: [ ] (µGy•m²)
SEDATION: Moderate sedation was administered under direct physician supervision and the patient was placed on continuous hemodynamic monitoring that was performed by an independent trained observer. Approximately [] minutes of physician supervised sedation and observation time were utilized.
FINDINGS: The procedure of [ ] kyphoplasty with moderate sedation was explained. Potential risks, benefits, and alternatives were discussed. All questions were answered, and informed consent was obtained.
Preliminary imaging evaluation of the spine confirmed vertebral compression fracture/deformity at [ ]. The overlying skin was cleansed and draped in sterile fashion. Maximum sterile barrier technique was utilized. A 50:50 mixture of 1% lidocaine/0.25% bupivacaine was administered for local anesthesia. Using biplane fluoroscopic guidance, an [ ] gauge needle was advanced into the vertebral body via a [ ] approach. Appropriate needle position was confirmed in both AP and lateral projections.
Through this trocar, a curved vertebral augmentation needle was then advanced into the vertebral body and a cavity was gradually created by manipulating this augmentation needle. Next, an appropriate volume of cement was instilled into the vertebral body under fluoroscopic observation. Excellent cross-filling was achieved, and there was no evidence of significant extravertebral cement extravasation or retropulsion of fracture fragments.
The needle was removed under fluoroscopic visualization. Hemostasis was achieved with manual pressure. The patient tolerated the procedure well and there were no immediate complications.
1. Successful kyphoplasty without complication.
Preprocedure diagnosis: [ ]
Procedure: [ ]
Findings: [ ]
Post procedure diagnosis: [ ]
Blood loss: Minimal
Complications: None