For patients suffering from the debilitating pain of spinal fractures—often caused by osteoporosis or trauma—mobility can feel like a distant memory. When conservative treatments like bed rest, bracing, or pain medication fail to provide relief, surgical intervention becomes necessary to restore quality of life. Kyphoplasty Surgery has emerged as a gold-standard, minimally invasive solution designed not just to alleviate pain, but to actively repair the structural integrity of the spine. By targeting the source of the fracture directly, this procedure helps patients return to their daily activities faster and with significantly reduced discomfort.
What is Kyphoplasty Surgery?
Kyphoplasty (often called Balloon Kyphoplasty) is a minimally invasive surgical procedure used to treat vertebral compression fractures (VCFs). These fractures occur when the block-like bones of the spine (vertebrae) collapse or break, leading to severe pain, a hunched posture (kyphosis), and loss of height.
The primary goals of the surgery are to stop the pain caused by the fracture, stabilize the bone, and, unlike other procedures, restore the height of the collapsed vertebra.
Types of Kyphoplasty Procedures
Balloon Kyphoplasty is the most performed and advanced method. A small tube is inserted into the fractured vertebra under imaging guidance. A balloon is gently inflated inside the vertebra to create space and restore height.
Once the height is improved, the balloon is removed. The created cavity is then filled with medical bone cement, which hardens quickly and stabilizes the bone.
Vertebral Augmentation (Without Balloon)
In this, kyphoplasty is done but without the use of a balloon. A needle is inserted directly into the fractured vertebra. Bone cement is injected to stabilize the fracture. Unlike balloon kyphoplasty, the vertebra's height is not expanded beforehand.
There are different forms of vertebral augmentation.
- Vertebroplasty: The simplest form, involving direct cement injection.
- Radiofrequency Kyphoplasty: Uses radiofrequency energy to control cement viscosity.
- SpineJack System (Expandable Implant): Small titanium implants open like a jack to lift the vertebra before cement filling.
Cement Types Used in Kyphoplasty
The type of cement plays a crucial role in the procedure’s success. Polymethylmethacrylate (PMMA) is the gold standard for kyphoplasty. This hardens quickly within minutes and provides strong internal support with long-lasting stability.
Calcium Phosphate Cement (CPC) is bio-compatible and integrates better with natural bone; it takes more time to harden than PMMA. Often preferred in younger patients or certain types of fractures.
Radiofrequency-activated cement used in advanced vertebral augmentation systems. This has controlled viscosity, which reduces risk of cement leakage and allows highly precise placement.
How Kyphoplasty is Done (Step-by-Step Procedure)?
Patients are usually advised not to eat or drink anything for 6 to 8 hours before the procedure. This is necessary for safe anesthesia administration.
Routine tests such as blood work and imaging (X-ray/MRI) are reviewed beforehand. The medical team explains the process and takes consent. You will change into a hospital gown and be shifted toward the operation theatre.
Once inside the OT, monitors will be attached to check heart rate, blood pressure, and oxygen levels. An IV line is inserted to give medications and fluids. The anesthesiologist will discuss anesthesia, which may be local anesthesia with sedation or general anesthesia, depending on your health and comfort.
If local anesthesia with sedation is used, you remain awake but relaxed, calm, and pain-free. If general anesthesia is used, you fall asleep completely and feel nothing during the procedure.
Once sedated, you will not feel the position change as the medical staff gently turns you onto your stomach (prone position).
Beginning the Procedure
- The surgeon cleans and sterilizes your back to prevent infection.
- A tiny incision (less than 1 cm) is made.
- A thin hollow needle is inserted into the fractured vertebra using real-time X-ray guidance.
- A small balloon is passed through the needle into the collapsed vertebra.
- The balloon is carefully inflated to restore lost height and create space inside the bone.
- Once the space is created, the balloon is removed.
- A special medical bone cement is gently injected into the newly created cavity.
- This cement quickly hardens—usually within minutes—stabilizing the fracture and preventing further collapse.
The instruments are removed, and the tiny incision is covered with a small dressing (no stitches are usually required). The entire procedure typically takes 30–60 minutes per vertebra.
If general anesthesia was used, you will wake up gradually in the recovery room within 15–30 minutes. If sedation was used, you will regain full alertness shortly after the procedure. Nurses will monitor your vitals and check pain levels.
Note: Patients are usually kept under observation for 1–2 hours. Most people can walk the same day once the anesthesia wears off. Light meals are allowed soon after fully waking up. Discharge typically happens on the same day or within 24 hours.
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Benefits of Kyphoplasty: A Surgeon’s Perspective
The main goal of the surgery is to get the patient back on their feet safely. Here are the primary advantages we expect from this surgery:
- Rapid Pain Relief: This is the most immediate benefit for patients. When a vertebra fractures, the bone fragments rub against each other and irritate the nerves, causing that sharp, deep pain you are feeling. By filling the space with medical cement, "freeze" those fragments in place. Once the bone is stabilized, it stops moving and hurting.
- Restoring Your Height and Posture: When a spinal bone collapses, it often heals in a wedge shape, which can cause your back to round forward (creating a "hunchback" or kyphosis). Unlike older treatments that just let the bone heal in that collapsed position, Kyphoplasty uses a balloon to gently lift the bone back to its normal height before we secure it. This helps you stand straighter and prevents that hunched posture from becoming permanent.
- It is Minimally Invasive: The surgery is performed through a tiny incision—about the size of a keyhole—using X-ray guidance. Surgeons don't have to cut through muscle or remove bone to get to the fracture; there is very little bleeding, and the surgical wound heals quickly.
- Faster Return to Daily Life: Because this is a low-impact surgery, the recovery time is much shorter than traditional open back surgery. In many cases, you can go home the same day or after just one night in the hospital.
Recovery After Kyphoplasty
One of the biggest advantages of Kyphoplasty is the quick recovery time. Since the procedure is minimally invasive and does not involve large incisions, most patients return to their normal daily routine much faster than with open surgery. Here is what you can expect during your recovery:
- In the Hospital: You will be monitored for a short period after the anesthesia wears off. You are actually encouraged to stand and walk within an hour of the procedure. Most patients are discharged to go home the same day or after a single overnight stay.
- Managing Pain: You will likely feel immediate relief from the sharp fracture pain. However, it is normal to feel some soreness or tenderness at the needle puncture site on your back for 2-3 days. This can usually be managed with ice packs and mild over-the-counter pain relievers.
- Activity Levels: Walking is beneficial and highly encouraged to build strength. You can return to light activities (like eating, sitting, and walking around the house) immediately.
- Restrictions: To allow the area to heal properly, you must avoid heavy lifting (anything over 4-5 kg), strenuous exercise, and intense twisting or bending of the spine for at least six weeks.
- Follow-Up: You will typically visit your doctor after two weeks to check the small incision and monitor your mobility.
Risks and Complications of Kyphoplasty
While Kyphoplasty is generally considered a safe and effective procedure, like all surgical interventions, it carries certain risks and potential complications. Your surgeon will discuss these in detail, but it is important to be aware of the possible issues.
Here are the main risks associated with Kyphoplasty:
- Cement Leakage: This is the most common and widely discussed complication. When the bone cement is injected, there is a small risk that it may leak out of the fractured vertebra and into the surrounding tissues, such as the spinal canal or the blood vessels.
- Infection: As with any procedure that breaks the skin barrier, there is a risk of infection at the injection site. This is typically prevented using sterile techniques and pre-operative antibiotics.
- Bleeding/Hemorrhage: While the procedure is minimally invasive, there is a small risk of bleeding in the surgical area.
- Nerve or Spinal Cord Injury: Although rare, the needle or the cement itself could potentially injure nearby nerves or the spinal cord, which could lead to pain, numbness, or weakness in the legs. Surgeons use continuous X-ray guidance (fluoroscopy) to minimize this risk.
- Adjacent Vertebral Fracture: By stabilizing the fractured vertebra with cement, the adjacent bones might sometimes bear slightly more stress, potentially increasing the risk of a new fracture occurring nearby.
- Anesthesia Risks: Risks associated with the sedation or general anesthesia used during the procedure, such as allergic reactions, respiratory problems, or heart issues.
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Why Choose Artemis Hospitals for Kyphoplasty Surgery Near You?
Our goal at Artemis Hospitals is to give kyphoplasty patients the best results possible. Our team consists of nationally renowned spine surgeons with expertise in both minimally invasive and complex spinal decompression procedures. We use cutting-edge operating technology, such as high-definition microscopy, real-time intraoperative neural monitoring, and state-of-the-art navigation systems like the O-arm and robotic assistance, to achieve maximum precision.
Our multidisciplinary team of physiotherapists and pain management specialists creates customized recovery plans to provide integrated rehabilitation support after surgery. Our patients can successfully regain their active lifestyle thanks to this all-encompassing, expert-led approach that reduces recovery time and maximizes functional return.
To learn more about the surgery, cost, and our team of surgeons, call +91 98004 00498.
Reviewed by Dr. Dheeraj Batheja
Senior Consultant - Ortho Spine Surgery
Artemis Hospitals