Vertebroplasty and kyphoplasty

Vertebroplasty and kyphoplasty are minimally invasive procedures used to treat certain types of spinal fractures, most commonly caused by osteoporosis.

They aim to stabilise the affected vertebra, reduce pain and help restore mobility.

AT A GLANCE

  • Minimally invasive treatment for spinal compression fractures
  • Commonly used in osteoporotic fractures
  • Helps stabilise the vertebra and reduce pain
  • Can improve mobility and function
  • Usually performed as a day-case or short stay procedure

Understanding vertebroplasty and kyphoplasty

Minimally invasive treatment for spinal fractures

Vertebroplasty and kyphoplasty are procedures used to treat compression fractures of the spine, where a vertebra collapses or becomes weakened.

These fractures are often associated with osteoporosis but may also occur following injury or other underlying conditions.

Both procedures involve stabilising the affected bone using medical cement, helping to reduce pain and improve function. Kyphoplasty may also help restore some vertebral height by gently expanding the bone before stabilisation.

At Total Spine Health, these treatments are considered after careful assessment to ensure they are appropriate and likely to provide benefit.

What are vertebroplasty and kyphoplasty?

Stabilising fractured vertebrae

Vertebroplasty and kyphoplasty are image-guided procedures used to stabilise a fractured vertebra.

In vertebroplasty, medical cement is injected directly into the weakened bone to strengthen it. In kyphoplasty, a small balloon is first inserted and inflated to create space, which is then filled with cement.

Both techniques aim to reduce pain and prevent further collapse of the vertebra.

When this treatment may be used

Symptoms linked to spinal compression fractures

Spinal fractures can cause significant discomfort and may affect mobility and posture.

  • sudden onset back pain
  • pain worsened by movement or standing
  • reduced mobility
  • tenderness over the spine
  • loss of height over time
  • changes in posture or spinal alignment
  • difficulty performing daily activities

Symptoms may develop suddenly or gradually depending on the cause.

CONDITIONS TREATED

When these procedures may be appropriate

Vertebroplasty and kyphoplasty are used in selected cases where spinal fractures are causing pain or functional limitation.

Osteoporotic compression fractures

Weakened bone collapses under normal load, causing pain.

Fragility fractures

Minor trauma leading to fractures due to reduced bone strength.

Traumatic spinal fractures (selected cases)

Fractures following injury where stabilisation is appropriate.

Persistent fracture-related pain

Pain not improving with conservative management.

Progressive vertebral collapse

Further loss of height in the affected vertebra.

Spinal deformity related to fractures

Changes in posture or curvature following collapse.

Multiple vertebral fractures

More than one level affected, contributing to symptoms.

Pain limiting mobility and function

When symptoms significantly affect daily life.

When vertebroplasty or kyphoplasty may be considered

When stabilisation may help

These procedures are considered when a spinal fracture is causing persistent pain and limiting function, particularly when symptoms are not improving with conservative treatment.

They are not required for all fractures and are selected carefully based on individual circumstances.

  • persistent pain following a spinal fracture
  • limited mobility due to pain
  • poor response to non-surgical treatment
  • confirmed compression fracture on imaging
  • progressive vertebral collapse
  • impact on daily activities or quality of life

ASSESSMENT AND SURGICAL PLANNING

Careful evaluation before treatment

Assessment ensures that the procedure is appropriate and that symptoms are related to the fracture being treated.

  • detailed symptom assessment
  • physical examination
  • imaging such as X-ray, MRI or CT scan
  • confirmation of fracture type and age
  • review of bone health and risk factors
  • discussion of benefits, risks and alternatives

This helps ensure the treatment is targeted and effective.

PROCEDURES AND TECHNIQUES

How vertebroplasty and kyphoplasty are performed

These procedures are performed under imaging guidance to accurately treat the affected vertebra.

Vertebroplasty

Medical cement is injected directly into the fractured vertebra to stabilise it.

Kyphoplasty

A balloon is used to create space before cement is inserted, which may help restore height.

Imaging-guided placement

X-ray or similar imaging ensures accurate positioning during the procedure.

Minimally invasive approach

Small incisions are used to access the vertebra.

Day-case or short stay procedure

Often performed without a long hospital stay.

Recovery after vertebroplasty and kyphoplasty

What to expect after treatment

Recovery is usually quicker than more extensive spinal procedures, and many patients notice improvement in pain relatively soon after treatment.

  • early mobilisation after the procedure
  • gradual return to activity
  • pain relief may be noticed within days
  • follow-up to assess outcome
  • ongoing management of bone health
  • physiotherapy where appropriate

The aim is to improve comfort and restore function safely.

FAQs

Frequently asked questions about vertebroplasty and kyphoplasty

How quickly will I feel better?

Many patients notice improvement within days, although this can vary.

Are these procedures safe?

They are generally considered safe when performed in appropriate cases.

Will it fix the fracture completely?

The procedure stabilises the bone but does not reverse underlying bone weakness.

Do I need treatment for osteoporosis as well?

Yes, managing bone health is an important part of long-term care.

Can fractures happen again?

Further fractures are possible, particularly if underlying bone health is not addressed.

RELATED CONDITIONS

Conditions linked with minimally invasive surgery

RELATED TREATMENTS

Treatment pathways that may be relevant