General Procedure Information

Vertebroplasty / Kyphoplasty

Vertebroplasty or kyphoplasty may be considered for some osteoporotic vertebral compression fractures. Suitability requires specialist assessment of pain, fracture features, imaging, neurological status and non-operative treatment.

What Is It?

These are image-guided spinal procedures intended, in selected cases, to stabilise a compressed vertebra and address related pain. Their purposes, limitations and evidence differ; a fracture or osteoporosis alone does not determine whether a procedure is appropriate.

When Might It Be Considered?

These are common assessment considerations only; they do not mean that you are necessarily suitable for surgery or the procedure.

  • A confirmed vertebral compression fracture corresponds with persistent, significant symptoms
  • Specialist assessment finds the fracture timing, imaging and overall health suitable for discussion
  • Osteoporosis treatment and prevention of future fractures are assessed at the same time

What Are the Alternatives?

  • Pain management, short-term activity adjustment, bracing, physiotherapy and osteoporosis assessment/treatment
  • Neurological changes, fever, cancer history or major trauma may require a different and more urgent assessment pathway

General Assessment and Procedure Planning

Assessment clarifies whether pain arises from a recent fracture and reviews imaging, blood-thinning medicines, infection risk and anaesthesia/sedation. The doctor explains the options, limitations and post-procedure monitoring.

Important

Possible Risks and Limitations

All surgery and invasive procedures carry risks. Your actual risk depends on your condition, the scope of the procedure, health and other factors. Your doctor will discuss this individually during informed consent.

  • Bleeding, infection, reactions to sedation or anaesthesia, and puncture-site problems
  • Material leakage, nerve irritation or injury, no improvement in pain or need for further treatment
  • The procedure does not replace osteoporosis care and fall-prevention measures

General Recovery Approach

Post-procedure activity and observation are decided by the treating team. Longer-term recovery commonly focuses on safe activity, posture and strength, bone health, nutrition and fall prevention.

When Should You Contact the Medical Team Promptly?

  • Pain, swelling, redness or warmth becomes suddenly worse after surgery or injury
  • Persistent wound bleeding or discharge, marked wound redness or swelling, fever, chills or feeling generally unwell
  • New or worsening numbness, weakness, breathing difficulty, chest pain or marked calf pain/swelling

For severe illness, breathing difficulty, chest pain, fainting or inability to travel safely, call 999 or attend an emergency department immediately.

Reference

Hong Kong College of Orthopaedic Surgeons patient education

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