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KYPHON® Balloon Kyphoplasty
STEP-BY-STEP GUIDE
KYPHON® Balloon Kyphoplasty: Step-by-Step




                    You have been diagnosed with a Vertebral Compression Fracture.
     The following presentation will walk you through this minimally invasive procedure step by step.
     For more information and to watch a video of the procedure, please visit www.spinalfracture.com
KYPHON® Balloon Kyphoplasty: Step-by-Step

                                           Radiologic Assesment
                                 This is what the fracture looks like with X-ray and MRI




      First week post fracture                  Eight weeks post fracture                  MRI: T2 Image
KYPHON® Balloon Kyphoplasty: Step-by-Step

                                       Location of Incisions




            Fractured vertebral body
                   (side view)




            Your physician will make small incisions over the fracture site(s) on your back.
KYPHON® Balloon Kyphoplasty: Step-by-Step

                                    Placement of Balloons




       Balloon catheters are inserted into the incisions and into the body of the affected vertebra.
KYPHON® Balloon Kyphoplasty: Step-by-Step

                                      Balloons are Inflated




     The balloons are inflated with a liquid visible under X-ray guidance inside the collapsed vertebra.
                     This creates a cavity and helps restore the vertebra body height.
KYPHON® Balloon Kyphoplasty: Step-by-Step

                   Removal of Balloons and Filling of Cement




            The physician then deflates and removes the balloons leaving an open cavity.
              Bone cement is then inserted through the catheters into the open cavity.
KYPHON® Balloon Kyphoplasty: Step-by-Step

                    Internal Cast to Support and Stabilize




                 Once the cement is carefully in place the catheters are removed
                  and the cement hardens in minutes creating an “internal cast”.
KYPHON® Balloon Kyphoplasty: Step-by-Step

                      Balloon Kyphoplasty Case Study
                                  Patient:   61 YO Female
                               Diagnosis:    Multiple Myeloma
                        Fracture Reduced:    T11, L2, 1 1/2 years old
KYPHON® Balloon Kyphoplasty: Step-by-Step

                      Balloon Kyphoplasty Case Study
                                  Patient:   84 YO Female
                               Diagnosis:    Primary Osteoporosis
                        Fracture Reduced:    T8, 3 weeks old
KYPHON® Balloon Kyphoplasty: Step-by-Step

                          Case Study: Correction of Angular Deformity

Immediate post fracture              Post fracture + 4 days      Post kyphoplasty




          Kyphosis = 16˚                        Kyphosis = 25˚             Kyphosis = 10˚
KYPHON® Balloon Kyphoplasty: Step-by-Step

KYPHON® Balloon Kyphoplasty                             KYPHON® Balloon Kyphoplasty is
•	   Typically	takes	less	than	an	hour	per	fracture	    designed to repair spinal fractures
     treated                                            and has been proven to result in
•	   Performed	under	local	or	general	anesthesia	       the following benefits:1,2
     and may require an overnight hospital stay, as
     determined by your doctor                          •	   Restoration	of	vertebral	body	height	and	
•	   Most	patients	recover	well	and	return	to	normal	        angular deformity
     activities within a few days                       •	   Significant	reduction	in	back	pain
•	   Covered	by	Medicare	and	private	insurance	         •	   Significant	improvement	in	quality	of	life
     carriers in most cases
                                                        •	   Significant	improvement	in	mobility
                                                        •	   Improved	ability	to	perform	activities	of	daily	
                                                             living, such as walking, hobbies, and work
                                                        •	   Low	complication	rate
KYPHON® Balloon Kyphoplasty: Step-by-Step

Notes:
www.kyphon.com


Medtronic
Spinal and Biologics
1221 Crossman Avenue
Sunnyvale, CA 94089
USA
Telephone: 408.548.6500
Customer Service: 866.959.7466


                                 1.	 Garfin	SR,	Buckley	RA,	Ledlie	J.	Spine. 2006;31:2213-2220.
                                 2.	 Ledlie	2006,	Minshall	ME,	Shen	W,	et	al.	Arthritis Rheum. 2001;44:2611-2619.

                                 Although	the	complication	rate	with	KYPHON®	Balloon	Kyphoplasty	has	been	demonstrated	to	be	low,	as	with	most	surgical	
                                 procedures,	there	are	risks	associated	with	the	procedure,	including	serious	complications.	This	procedure	is	not	for	everyone.	A	
                                 prescription is required. Please consult your physician for a full discussion of risks and whether this procedure is right for you.
                                 ©	2009	Medtronic	Spine	LLC.	All	Rights	Reserved.	16003457		rev	1

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Balloon Kyphoplasty Step By Step Procedure Guide

  • 2. KYPHON® Balloon Kyphoplasty: Step-by-Step You have been diagnosed with a Vertebral Compression Fracture. The following presentation will walk you through this minimally invasive procedure step by step. For more information and to watch a video of the procedure, please visit www.spinalfracture.com
  • 3. KYPHON® Balloon Kyphoplasty: Step-by-Step Radiologic Assesment This is what the fracture looks like with X-ray and MRI First week post fracture Eight weeks post fracture MRI: T2 Image
  • 4. KYPHON® Balloon Kyphoplasty: Step-by-Step Location of Incisions Fractured vertebral body (side view) Your physician will make small incisions over the fracture site(s) on your back.
  • 5. KYPHON® Balloon Kyphoplasty: Step-by-Step Placement of Balloons Balloon catheters are inserted into the incisions and into the body of the affected vertebra.
  • 6. KYPHON® Balloon Kyphoplasty: Step-by-Step Balloons are Inflated The balloons are inflated with a liquid visible under X-ray guidance inside the collapsed vertebra. This creates a cavity and helps restore the vertebra body height.
  • 7. KYPHON® Balloon Kyphoplasty: Step-by-Step Removal of Balloons and Filling of Cement The physician then deflates and removes the balloons leaving an open cavity. Bone cement is then inserted through the catheters into the open cavity.
  • 8. KYPHON® Balloon Kyphoplasty: Step-by-Step Internal Cast to Support and Stabilize Once the cement is carefully in place the catheters are removed and the cement hardens in minutes creating an “internal cast”.
  • 9. KYPHON® Balloon Kyphoplasty: Step-by-Step Balloon Kyphoplasty Case Study Patient: 61 YO Female Diagnosis: Multiple Myeloma Fracture Reduced: T11, L2, 1 1/2 years old
  • 10. KYPHON® Balloon Kyphoplasty: Step-by-Step Balloon Kyphoplasty Case Study Patient: 84 YO Female Diagnosis: Primary Osteoporosis Fracture Reduced: T8, 3 weeks old
  • 11. KYPHON® Balloon Kyphoplasty: Step-by-Step Case Study: Correction of Angular Deformity Immediate post fracture Post fracture + 4 days Post kyphoplasty Kyphosis = 16˚ Kyphosis = 25˚ Kyphosis = 10˚
  • 12. KYPHON® Balloon Kyphoplasty: Step-by-Step KYPHON® Balloon Kyphoplasty KYPHON® Balloon Kyphoplasty is • Typically takes less than an hour per fracture designed to repair spinal fractures treated and has been proven to result in • Performed under local or general anesthesia the following benefits:1,2 and may require an overnight hospital stay, as determined by your doctor • Restoration of vertebral body height and • Most patients recover well and return to normal angular deformity activities within a few days • Significant reduction in back pain • Covered by Medicare and private insurance • Significant improvement in quality of life carriers in most cases • Significant improvement in mobility • Improved ability to perform activities of daily living, such as walking, hobbies, and work • Low complication rate
  • 13. KYPHON® Balloon Kyphoplasty: Step-by-Step Notes:
  • 14. www.kyphon.com Medtronic Spinal and Biologics 1221 Crossman Avenue Sunnyvale, CA 94089 USA Telephone: 408.548.6500 Customer Service: 866.959.7466 1. Garfin SR, Buckley RA, Ledlie J. Spine. 2006;31:2213-2220. 2. Ledlie 2006, Minshall ME, Shen W, et al. Arthritis Rheum. 2001;44:2611-2619. Although the complication rate with KYPHON® Balloon Kyphoplasty has been demonstrated to be low, as with most surgical procedures, there are risks associated with the procedure, including serious complications. This procedure is not for everyone. A prescription is required. Please consult your physician for a full discussion of risks and whether this procedure is right for you. © 2009 Medtronic Spine LLC. All Rights Reserved. 16003457 rev 1