Balloon Kyphoplasty Step By Step Procedure Guide
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The document describes the steps of a KYPHON® Balloon Kyphoplasty procedure to treat a vertebral compression fracture. Small incisions are made and balloons inserted into the fractured vertebra. The balloons are inflated to restore height and create a cavity for bone cement. The balloons are removed and cement injected to form an internal cast for support. The procedure typically takes less than an hour and results in reduced pain and improved mobility and quality of life. Risks include those associated with any surgery.
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This document discusses vertebroplasty and its controversies. It covers the opposition faction's concerns about patient selection and study design flaws in vertebroplasty trials. Specifically, it notes criticisms of including patients with unclear fracture acuity or other pain sources. It also reviews proposed indications, complications, efficacy evidence from studies, and the debate around early vs. delayed intervention. In 3 sentences: The document examines the ongoing debate around vertebroplasty, with opponents arguing past studies had flaws like uncertain fracture timing and potential sham procedure issues, while supporters point to studies finding it reduced pain and improved function for vertebral compression fractures. It discusses factors like patient selection criteria, potential complications, and the question of whether early intervention impacts outcomes.
Vertebroplasty for osteoporotic crush fractures
1) Percutaneous vertebroplasty is a procedure used to treat painful vertebral compression fractures, often caused by osteoporosis. It involves injecting bone cement into the fractured vertebra under imaging guidance.
2) Patient selection is key, with imaging used to confirm an acute fracture and rule out other issues. The procedure aims to reduce pain and improve mobility.
3) Early studies found improvements in pain levels, activity, and quality of life for over 80% of patients. However, a large randomized controlled trial found no difference compared to a sham procedure, questioning its effectiveness. Its use has since declined significantly.
Feb. 12, 2017 web
The document contains announcements for various events including a deadline, birthdays, anniversaries, and a new Bible class. It also shares a message about two distinct moves of the Holy Spirit that will occur over the next few decades, characterized first by a restoration of spiritual gifts and baptism, and second by people leaving historic churches to plant new churches. Finally, it includes a prayer for an outpouring of the Holy Spirit.
Loosemore
This document discusses thrombolysis nursing competencies and the stroke care pathway. It provides background on factors that informed the UK Stroke Strategy, including audits showing low rates of thrombolysis. It then covers thrombolysis treatment details such as the window for administration, complications, and evidence from clinical trials demonstrating benefits. Key aspects of thrombolysis nursing care are outlined, and the importance of rapid diagnosis, imaging, treatment initiation and supportive care is emphasized.
Mopett
Based on the details provided, the results of this study appear to be applicable and helpful for guiding treatment decisions for patients similar to those enrolled in the trial - namely, patients with moderate PE who are ineligible for full-dose thrombolysis. The treatment appears feasible and significantly reduced important clinical outcomes. As with any intervention, the risks and benefits for an individual patient should be considered.
Foreign body removal during cardiac catheterization
The document discusses techniques for removing foreign bodies from the heart and blood vessels during cardiac catheterization procedures. It outlines the necessary equipment, including biplane fluoroscopy, long sheaths, wires, and various retrieval devices like snares, baskets, and forceps. While the latest tools and techniques allow expert interventional cardiologists to extract most objects, some large implanted devices may be too big to remove percutaneously and may require open heart surgery instead for safety. Consultation with a surgeon should be considered in difficult cases to prioritize patient well-being.
Management of Spasticity with the Intrathecal Baclofen Infusion Therapy (Dece...
Management of Spasticity with the Intrathecal Baclofen Infusion Therapy (Dece...Manuel Álvarez López-Dóriga
The intrathecal baclofen infusion therapy is an adjustable and reversible treatment option designed to manage generalized severe spasticity. A motor disorder that makes movement, posture and balance difficult, interfering in the function, daily activities, sleep patters and caregiving of patients.
Since this therapy was first used, multiple clinical studies have been conducted and, collectively, they have demonstrated that this therapy is a safe, well-tolerated, efficacious and cost-effective treatment. Via a reduction of their spasticity and spams, this therapy offers those patients, who are eligible to receive it, a solution effective in the long-term that helps them to improve their function, level of independence and quality of life.
This comprehensive and practical guide has been designed, from a multidisciplinary perspective, to summarize all the basic and most relevant aspects of the treatment of generalized severe spasticity using the intrathecal baclofen infusion therapy.
The purpose, goals and key steps for each one of the phases of this therapy (patient selection, screening test, infusion system implant procedure and therapy optimization and maintenance) are reviewed in detail throughout the guide. Additionally, the patient assessment and the patient and caregivers education, which are of critical importance to ensure a safe and effective treatment with this therapy, are also covered in separate chapters.VERTEBROPLASTY
Percutaneous cementoplasty involves injecting acrylic cement into vertebral bodies to prevent collapse and relieve pain in patients with pathologic or compressed vertebrae. It can be used to treat osteoporotic fractures, tumors, and metastases. The procedure is performed under local anesthesia and fluoroscopy guidance. Cement is injected during its viscous phase to prevent leaks. Potential complications include cement leaks into the epidural space, veins, or disk, which can cause cord compression or embolism. The procedure provides pain relief but risks include leak-related complications and infection.
Spinal compression fractures
A spinal compression fracture is the collapse of the vertebral body caused by trauma, osteoporosis, infection, or tumors. Patients experience sudden localized back pain that worsens with movement. Diagnosis involves x-rays, CT scans, and MRI (with STIR sequence) to identify the fracture and determine its acuity. Conservative treatment includes medications and bracing, while vertebroplasty and kyphoplasty are minimally invasive surgical options to stabilize acute fractures by injecting bone cement. Vertebroplasty directly fills the fracture with cement, while kyphoplasty first uses a balloon to elevate the fracture before cement injection.
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Osteoporotic Compression Fracture and Percutaneous Vertrebroplasty dr.sandee...
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Pros and Cons？ Insight of Vertebroplasty and Clinical Application
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Foreign body removal during cardiac catheterization
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Surgical treatment of CTEV
Surgical treatment of clubfoot aims to achieve a plantigrade foot through complete release of all contracted structures. The timing of surgery is typically between 9-12 months of age. Various surgical techniques fully release the hindfoot, midfoot, and forefoot joints. Postoperative casting is crucial to maintain correction, while complications like under- or over-correction, infection, and loss of correction require additional treatment. Residual or resistant clubfoot in older children presents unique challenges requiring customized surgical and non-surgical approaches.
Adult Orthopedic Imaging Series: Presentation #2 Native Hip Dislocations
Drs. Carrie Bissell, Aaron Fox, and Kendrick Lim are Emergency Medicine Residents at Carolinas Medical Center and are interested in emergency medicine and medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine and Dr. Laurence Kempton, an Orthopedic Surgeon, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides that focus on Adult Orthopedic cases. This set will cover:
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Prof. Anisuddin Bhatti, Paeds Orthopaedic surgeon, Dr. Ziauddin University Hospital Clifton Karachi, Pakistan, delivered lecture on Developmental Dysplastic Hips Treatment principles, protocols and procedures on 21.11.2020. he elaborated on principles /protocols of Open reduction. elaborated in detail on Catteral test of stability, Salters osteomy & Pemberton Osteotomy.He also gave example of disaster if principles of open reduction are violated.this lecture series on DDH was mostly for trainees and young Orthop surgeons.
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The document discusses a minimally invasive technique called percutaneous calcaneoplasty for treating displaced intraarticular calcaneal fractures as an alternative to open reduction internal fixation. The technique involves closed reduction of fracture fragments under fluoroscopy followed by stabilization with balloon-assisted augmentation of bone cement or calcium phosphate. A retrospective study of 11 patients treated with this method found excellent or good clinical outcomes in 10 patients with union in 2-3 months and no wound complications. The study concludes percutaneous calcaneoplasty can provide stable reduction without plating and allow for early function recovery and short hospital stays.ALL (antero-lateral ligament) - extra articular ACL reconstruction - basics
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The document provides a rehabilitation protocol for ACL reconstruction surgery. It outlines exercises and guidelines for various phases of recovery, from pre-operation to 6 months post-operation. The highest priority in the early postoperative phase is regaining full passive extension through various stretching exercises to prevent knee stiffness. Exercises gradually progress from range of motion and isometric contractions to strengthening exercises over 6 months to restore muscle strength and normal gait.
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Adult Orthopedic Imaging Series: Presentation #2 Native Hip Dislocations
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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