Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

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Vertebroplasty and kyphoplasty

Minimally Invasive Interventions for Vertebral Compression Fractures

Vertebroplasty and kyphoplasty are minimally invasive procedures designed to treat vertebral compression fractures, common in conditions like osteoporosis or trauma. This overview explores the principles, indications, procedural details, and expected outcomes associated with vertebroplasty and kyphoplasty.

Principles of Vertebroplasty and Kyphoplasty:

  1. Vertebral Compression Fractures:
    • These procedures primarily address vertebral compression fractures, which occur when a vertebra collapses or becomes compressed due to factors such as osteoporosis, injury, or tumours.
  2. Pain Relief:
    • The primary goal is to relieve pain associated with the fracture and stabilize the affected vertebra, preventing further collapse.

Indications for Vertebroplasty and Kyphoplasty:

  1. Osteoporotic Compression Fractures:
    • Both vertebroplasty and kyphoplasty are commonly used to treat fractures resulting from osteoporosis, a condition characterized by weakened bones.
  2. Traumatic Fractures:
    • These procedures can be applicable for traumatic vertebral fractures resulting from accidents or injuries.
  3. Tumours:
    • In some cases, vertebroplasty or kyphoplasty may be considered for fractures caused by tumours in the spine.

Procedural Details:

Vertebroplasty:
  1. Preparation:
    • The patient is positioned face down on the operating table. Local anaesthesia is administered to numb the skin.
  2. Needle Placement:
    • A hollow needle is guided into the fractured vertebra using fluoroscopy (real-time X-ray). Cement (usually bone cement) is then injected into the collapsed vertebra.
  3. Cement Solidification:
    • The cement solidifies, stabilizing the vertebra and providing pain relief.
Kyphoplasty:
  1. Balloon Insertion:
    • A small balloon is inserted into the collapsed vertebra and inflated to create a cavity, restoring some of the vertebra’s height.
  2. Cement Injection:
    • Once the space is created, bone cement is injected into the cavity, stabilizing the vertebra.
  3. Cement Solidification:
    • The cement solidifies, supporting the vertebra’s structure and reducing pain.

Expected Outcomes:

  1. Pain Reduction:
    • Both vertebroplasty and kyphoplasty are effective in reducing pain associated with vertebral compression fractures.
  2. Improved Functionality:
    • Stabilizing the fractured vertebra often leads to improved functionality and mobility.
  3. Prevention of Further Fractures:
    • By stabilizing the affected vertebra, these procedures help prevent further collapse or fractures.

Risks and Considerations:

  1. Infection:
    • Infection at the injection site is a potential risk, although it’s relatively rare.
  2. Cement Leakage:
    • Leakage of the injected cement can occur, potentially affecting surrounding tissues. However, advancements in techniques help minimize this risk.
  3. Allergic Reaction:
    • Allergic reactions to the cement are extremely rare but can occur.
  4. Incomplete Pain Relief:
    • While the majority of patients experience significant pain relief, some may have incomplete relief or require additional interventions.

Conclusion:

Vertebroplasty and kyphoplasty are valuable minimally invasive procedures for treating vertebral compression fractures. These interventions provide effective pain relief, stabilize the affected vertebrae, and contribute to improved functionality. As with any medical procedure, patients should consult with their healthcare team to determine the most suitable approach based on their specific condition and overall health.

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    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient