Treatment guide
Kyphoplasty
A minimally invasive procedure considered for selected painful vertebral compression fractures.
Overview
Kyphoplasty treats a painful vertebral compression fracture through a small access pathway. A balloon-like device is used to gently create space within the collapsed vertebral body, and stabilizing bone cement is then placed into that space. The goal is to stabilize the fracture and reduce the pain it is causing.
The procedure is considered for fractures that are recent, that imaging confirms are still actively causing pain, and that have not settled despite appropriate conservative care. It is paired with, never substituted for, the medical evaluation and treatment of underlying bone health, which is what protects the remaining vertebrae.
Conditions treated
Considered for recent, painful vertebral compression fractures, typically osteoporotic, after clinical and imaging evaluation confirms the fracture is the pain source and remains actively healing. It is not used for old, healed fractures that no longer show active change.
Who may be a candidate
Appropriate when a recent painful fracture has been confirmed as the pain source, often supported by MRI showing bone marrow swelling matching the painful level, when pain persists and limits function despite appropriate conservative measures, and when the timing within the fracture's healing window is favorable. General health, medications, and bleeding risk are reviewed as part of candidacy.
What to expect
The procedure is performed in a setting with imaging and anesthesia support, typically with local anesthetic and light relaxation or sedation, and usually takes under an hour depending on the number of levels. Through a small incision, a pathway is created into the fractured vertebra under continuous imaging, the space is gently expanded, and cement is placed and allowed to set. You are monitored after the procedure with specific instructions.
Recovery
Most people are up and walking within hours, which is one of the procedure's practical advantages over prolonged rest during fracture healing. Soreness at the small entry point settles over days. Most normal activities resume within days to a week, with lifting restrictions for a short period. Bone-health treatment, fall-prevention review, and appropriate follow-up imaging of the spine are part of recovery, since protecting the remaining vertebrae matters as much as the treated one.
Potential benefits
For appropriately selected fractures, the goal is meaningful reduction of fracture-related pain and improved ability to stand, walk, and participate in rehabilitation, usually within days. Stabilizing the fracture may also limit further collapse of the treated vertebra. The practical effect for many patients is a faster return to function than prolonged conservative management alone.
Risks and considerations
Documented considerations include bleeding and infection at the entry site, cement leakage outside the vertebra, which is common and usually without symptoms but can occasionally matter, nerve injury, reaction to anesthesia or sedation, and an increased likelihood of fracture at an adjacent vertebra, which is why bone-health treatment is integral to the plan. Lack of benefit is possible when the fracture was not the true pain source, which is why careful selection matters.
Common questions
Frequently asked questions
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Start with a conversation about your symptoms and goals.
This information is educational and does not replace an individual medical evaluation. If you have a medical emergency, call 911.
