Apr 26, 2006 in a study comparing balloon kyphoplasty with conventional medical care, midline vertebral body height was significantly increased in the balloon kyphoplasty group compared with that at baseline and at 12 months was significantly greater than in the controls 67% vs 56%. Ppt balloon kyphoplasty powerpoint presentation free. The procedure typically includes the use of a small balloon that is inflated in the vertebral body to create a void within the cancellous bone prior to cement delivery. Spinal fractures kyphon balloon kyphoplasty treatment. Medtronic launches kyphon xpander ii ibt system medgadget. The resulting cavity void allows for a controlled deposition of kyphon bone cement. Kyphoplasty is a new procedure for the treatment of vertebral compression fractures that is being performed with increasing frequency. Apr 19, 2011 balloon kyphoplasty step by step procedure guide 1. Balloon kyphoplasty is a minimally invasive treatment for spinal compression fractures also called vertebral compression fractures of vcfs. Spinal fractures and kyphon balloon kyphoplasty treatment.
Cureus safety and efficacy of balloon kyphoplasty for. Subsequent models received fda 510k clearance in 2001 and 2003. The balloon kyphoplasty 11 is a recent change to percutaneous vertebroplasty, conducted for the first time by reiley in 1998. Vertebral augmentation percutaneous kyphoplasty amazon s3. Kyphoplasty is a surgical procedure for the spine and is designed to stop the pain that is caused by a spinal fracture. After deflating and removing the balloon, a cementlike material is inserted into the. Stepbystep you have been diagnosed with a vertebral compression fracture. In this procedure, a doctor inserts and inflates a balloon to create an opening for the mixture. Learn how medtronic balloon kyphoplasty has transformed. We searched several electronic databases up to september 2008 and the reference lists. This study was undertaken to evaluate the safety and efficacy of a series of very elderly patients who underwent balloon kyphoplasty. Kyphon inflation syringe, which consists of a long tube to keep the clinician out of the.
Jun 27, 2016 if the physician treats multiple spinal levels, beginning in the cervicothoracic region and crossing into the lumbosacral region, you nonetheless should select a single initial level code. Spinal fractures are a common source of morbidity in cancer patients. In contrast to kyphons balloon system, a stiff plastic tube. With the kyphon cement delivery system, the kyphon v premium vertebroplasty system allows you to. Balloon kyphoplasty is a minimally invasive surgical procedure performed to treat one or more vertebral compression fractures vcfs. Efficacy and safety of balloon kyphoplasty in the treatment of vertebral compression fractures. According to our results, the xray visibility of kyphos cement should be improved. The affected vertebra has not been extensively damaged and is at least onethird of its original height.
Kyphon balloon kyphoplasty orthopaedic treatment of vertebral compression fractures powerpoint ppt presentation. Kyphoplasty system an overview sciencedirect topics. Does anyone have an office protocol they would be willing to share. Kyphoplasty is a variation of a vertebroplasty which attempts to restore the height and angle of kyphosis of a fractured vertebra of certain types, followed by its stabilization using injected bone cement. Is anyone having trouble getting reimbursed for kyphoplasty balloons in the office. Kyphon balloon kyphoplasty medicare reimbursement pdf download. Osteoporotic compression fractures of the spine thoracic and lumbar can be very painful.
It takes about an hour per fracture level to treat a fracture with balloon kyphoplasty, and the procedure can be done on an outpatient or inpatient basis. Vertebroplasty is a minimally invasive, nonsurgical therapy used to strengthen a spinal bone vertebra that has been weakened or broken by osteoporosis or. How the balloon works kyphon balloon kyphoplasty is a minimally invasive treatment in which orthopedic balloons are used to gently elevate the fractured vertebra in an attempt to return it to the correct position. Kyphoplasty of vertebral fractures with kyphos bone. Concern has been raised regarding unacceptable morbidity and poor outcomes in very elderly patients who undergo the procedure. Other logistics for a typical kyphoplasty procedure are.
One other published article was received from kyphon. Kyphon, sunnyvale, ca is a device approved by the u. Jun 24, 20 in fiscal year 2015, we anticipate our corevalve transcatheter payment models both of which require new levels and types of economic pact admiral drug. Feb 21, 2011 vertebroplasty is a minimally invasive, nonsurgical therapy used to strengthen a spinal bone vertebra that has been weakened or broken by osteoporosis or, less commonly, cancer. Important safety information is shown at the end of the video. Apr 26, 2006 the ip guidance on balloon kyphoplasty for vertebral compression fractures remains current, and should be read in conjunction with the clinical guideline. Corporate medical policy vertebroplasty, kyphoplasty, and. Kyphon balloon kyphoplasty is a minimally invasive procedure that can repair spinal fractures. Introduction balloon kyphoplasty is a wellaccepted treatment for symptomatic compression fractures. See five key studies that demonstrate efficacy of kyphon balloon kyphoplasty for.
Open correction of resulting deformity by different types of. Osteoporosis, a degenerative bone disease, is a leading cause of vcf among elderly women. Overview balloon kyphoplasty for vertebral compression. Jun 19, 2009 kyphoplasty, vertebroplasty kyphon kyph, houston more on osteoporosis. The resulting cavity void allows for a controlled deposition of kyphon bone cement which helps form an internal cast. It treats pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions. Percutaneous vertebroplasty and kyphoplasty are unproven and not medically necessary for treating indications other than those listed above due to insufficient evidence of efficacy. Multiple adjacent vertebral fractures after kyphoplasty in a patient. Balloon kyphoplasty procedure including information about reimbursement and uplifting patient testimonials. The adobe flash plugin is needed to view this content. After reduction, the balloons are deflated and removed.
Balloon kyphoplasty bkp is a minimally invasive procedure designed to stabilize fractures and correct vertebral deformities. Carefusion, a recent spinoff from health care giant cardinal health. Volume 26, issue 1, januaryfebruary 2002, pages 15. Directed cement flow kyphoplasty for treatment of osteoporotic vertebral. Download technical manuals for kyphon products from the medtronic manual library. Television ad for kyphon balloon kyphoplasty youtube. Patients treated with kyphon balloon kyphoplasty showed no additional risk of subsequent fractures vs. Complications and safety aspects of kyphoplasty for osteoporotic vertebral fractures.
Balloon kyphoplasty is a minimally invasive procedure designed to repair vertebral compression fractures vcfs by reducing and stabilizing the fractures. Kyphoplasty is a surgical procedure and, as such, is not subject to regulation by the u. Medtronickyphon, the 800pound gorilla of kyphoplasty. A special balloon is then inserted through the tube and inflated. Learn about the kyphon balloon kyphoplasty procedure and products. The device is mainly used in pkp operation to dilate vertebral body and form a cavity, which is for injecting bone cement to recover and stabilize vertebral body. Unilateral extrapedicular costotransversary approach for balloon kyphoplasty. Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty rfk, and mechanical vertebral augmentation with kiva are interventional techniques involving the fluoroscopically guided injection of polymethylmethacrylate pmma into a cavity created in the vertebral body with a balloon or mechanical device. Percutaneous balloon kyphoplasty for the correction of. All patients with osteoporosis receiving kyphoplasty must be treated medically for osteoporosis to prevent additional fractures. Percutaneous balloon kyphoplasty, radiofrequency 6. In case of resulting deformity, sintering and persistent pain vertebral cement augmentation techniques today are widely used.
Each year, 700,000 people in the united states will suffer compression fractures of the spine due to osteoporosis. Bone cements for percutaneous vertebroplasty and balloon. I am thinking of doing these procedures in the office. Although the complication rate for kyphon balloon kyphoplasty is low, as with most surgical procedures, serious adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest heart stops beating, stroke, and embolism blood, fat or. Unlike traditional balloon kyphoplasty, structural kyphoplasty allows for physiciancontrolled fracture reduction.
We performed a metaanalysis to determine the efficacy and safety of bkp for spinal fractures in cancer patients. Fracture reduction evaluation study 24month final clinical study report, august 27, 2010. These spinal fractures can take place at different levels of the spine but most commonly spinal fractures occur in the thoracic and lumbar region of the spinal column. Balloon kyphoplasty the balloon solution for spinal fractures marketing kit hospital. The following presentation will walk you through this minimally invasive procedure step by step. The patient tolerated the procedure well and was discharged the. Balloon kyphoplasty is a reasonable alternative to vertebroplasty, although it must be reiterated that this conclusion is based on evidence from level 4 studies. Patients suffering from vcf have two treatment options vertebroplasty vp and kyphoplasty kp. To help you pick the right option and know the risks, here is a post about vertebroplasty vs kyphoplasty. Ppt kyphon powerpoint presentation free to download. Percutaneous balloon kyphoplasty bkp 1 is an interventional radiologic technique that has been used in the treatment of vertebral compression fractures due to various causes such as osteoporosis, metastases, or trauma. Since its founding in 1994, kyphon has been dedicated to improving patient quality of life through revolutionizing the practice of medicine.
This elevates the fracture, restoring a more natural shape, while also compacting the soft inner bone to create a cavity in the center of the vertebrae. Food and drug administration fda for implantation at one or two levels in patients with neurogenic claudication due to lumbar spinal. For more details, refer to the sources of evidence. Balloonrelated complications and technical failures in. Balloon kyphoplasty is performed by inserting a balloon like device inflatable bone tamp through a channel created by a hand drill in the fractured vertebrae. What are the guidelines for the use of balloon kyphoplasty for the. Studies report favorable patient outcomes after a kyphon balloon kyphoplasty procedure versus nonsurgical treatment 4,5, such as. Balloon kyphoplasty requires the use of an inflatable bone tamp. For example, a surgeon documents bilateral percutaneous vertebroplasty at vertebral segments t12 and l1. At first, conservative treatment still is the method of choice. Each year, 700,000 people in the united states will suffer compression fractures of the spine due to osteopo. Minimize radiation exposure by standing up to four feet away from the radiation source, which has been measured to reduce hand radiation exposure by 70% compared to kyphon bone filler device when measured with dosimeters under fluoroscopy. One of the perceived benefits of kyphoplasty developed primarily by a sunnyvale, cabased company called kyphon over vertebroplasty is that kyphoplasty uses a balloon to create a void in the cancellous part of the collapsed vertebral body that can then be filled with a more viscous bone cement proprietary. The complication rate with kyphon balloon kyphoplasty has been demonstrated to be low.
Spinal fractures osteoporosis causes more than 700,000 spinal fractures each year in the u. Balloon kyphoplasty is a procedure, following which the intensity of the pain reduces dramatically, and at the same time, the height of the compressed vertebral body can. The ip guidance on balloon kyphoplasty for vertebral compression fractures remains current, and should be read in conjunction with the clinical guideline. Kyphoplasty surgery to treat a fracture from osteoporosis is performed at a hospital under local or general anesthesia. Balloon kyphoplasty for spinal fractures medtronic. The balloon is removed after the cement is injected.
Any information contained in this pdf file is automatically generated from digital material. Kyphon balloon kyphoplasty treating spinal fractures aims to make it easier for patients to return to everyday activities with significantly less pain than they had prior to the procedure. Kyphon balloon kyphoplasty uses orthopaedic balloons to restore vertebral height and correct angular deformity from vertebral compression fractures vcf due to osteoporisis, cancer, or benign lesion. The kyphoplasty procedure takes about one hour for each vertebra involved. Pdf kyphoplasty in osteoporotic vertebral compression fractures. These pieces are available on the hospital marketing kit cd in the folder titled fact sheets. Components of kyphoplasty system products kyphoplasty balloon catheter. Aug 19, 2011 osteoporotic vertebral compression fractures are a menace to the elderly generation causing diminished quality of life due to pain and deformity. Ppt kyphon powerpoint presentation free to download id. A08e kyphon latitude ii curette for scraping bone in the vertebral body, increasing inflatable bone tamp efficiency. Balloon kyphoplasty step by step procedure guide 1.
Balloon kyphoplasty as a treatment for vertebral compression fractures a technology assessment. Kyphoplasty in osteoporotic vertebral compression fractures. Neither vertebroplasty nor percutaneous vertebral augmentation is indicated for treatment of. Skyphoplasty is a new method of percutaneous spinal augmentation. Balloon kyphoplasty provides symptomatic relief of vertebral compression fractures in elderly patients. Jan 21, 2006 the aim of this study is to evaluate the efficacy and safety of balloon kyphoplasty bk in the management of vertebral compression fractures vcfs. Balloon kyphoplasty should be restricted to facilities that have sufficient volumes to develop and maintain the expertise required to maximize good quality outcomes. For complete information regarding indications for use, contraindications, warnings, precautions. The resulting cavity void allows for a controlled deposition of kyphon bone.
Bkp involves the use of a balloon to create a cavity within the cancellous bone, followed with bone. What is the costeffectiveness of balloon kyphoplasty for the treatment of vcfs in adults. Kaiser foundation health plan of washington and kaiser foundation health plan of washington options, inc. The balloon kyphoplasty procedure was performed under local anesthesia lidocaine hydrochloride. Information for clinicians about balloon kyphoplasty, a minimally invasive. Percutaneous balloon kyphoplasty may be considered medically necessary for the treatment of no more than 3. Both are mildly invasive and effective, but they also have their differences. We compared the efficacy and safety of balloon kyphoplasty to nonsurgical therapy over 24 months in patients with acute painful fractures.
Pdf osteoporotic vertebral compression fractures are a menace to the elderly generation causing diminished quality of. Your doctor may use imaging guidance to inject a cement mixture into the fractured bone vertebroplasty or insert a balloon into the fractured bone. The procedure typically includes the use of a small balloon that is inflated in the vertebral body to create a void within the cancellous. Common complications of kyphoplasty are cement leakage and adjacent segment fractures. Vertebroplasty and kyphoplasty are currently used to treat osteoporotic vcfs with successful shortterm results. Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures.
There was no statistically significant difference in the number of patients with new radiographic fractures between the. Quick coding tips for vertebroplasty and kyphoplasty aapc. Download pdf patient safety in surgery biomed central. Kyphoplasty what to expect when you arrive all patients must register in the north patient tower 1 hour prior to the procedure and will need a driver after the procedure.
Figure 186 illustrates the components of the balloon kyphoplasty system. The kyphon inflatable bone tamp kyphon, santa clara, ca first received fda 510ki clearance in 1998. Balloon kyphoplasty for the treatment of acute vertebral. Adults with one to three vertebral fractures were randomized within 3 months from onset of pain to undergo kyphoplasty n 149 or nonsurgical therapy n 151. L0015 balloon kyphoplasty for vertebral compression. See how the kyphon balloon kyphoplasty and cement delivery system are used to administer the balloon kyphoplasty procedure for vertebral compression fractures. Percutaneous balloon kyphoplasty, radiofrequency kyphoplasty rfk, and mechanical vertebral augmentation with kiva are interventional techniques involving the fluoroscopically guided injection of polymethylmethacrylate pmma into a cavity created in the vertebral body with a balloon. Jul 22, 2015 watch a television ad for kyphon balloon kyphoplasty procedure for spinal fractures.
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