Vertebroplasty and Kyphoplasty in Delhi
Vertebroplasty and Kyphoplasty in Delhi provides cement augmentation for painful osteoporotic compression fractures in select cases. We focus on evidence‑based patient selection (MRI‑confirmed acute edema), precise fluoroscopy‑guided technique, careful cement viscosity control to reduce leakage, and an early‑mobilization plan coordinated with your physiotherapist. We do not provide physiotherapy in‑house; we share written protocols and milestones for safe, criteria‑based recovery.
Imaging‑guided selection • Vertebroplasty • Balloon kyphoplasty • Cement leakage control • Early mobilization
About Vertebroplasty and Kyphoplasty in Delhi
Osteoporotic vertebral compression fractures (VCFs) can cause sudden, severe back pain, loss of height, and progressive kyphosis. While most VCFs improve with analgesia, bracing, activity modification, and bone health treatment, some patients remain in debilitating pain or cannot mobilize safely. Vertebroplasty and kyphoplasty are minimally invasive options that stabilize the fracture with medical‑grade bone cement (PMMA), often reducing pain within hours to days and enabling earlier return to function.
Vertebroplasty involves percutaneous cement injection into the fractured vertebral body under continuous fluoroscopic guidance. Kyphoplasty adds a balloon step to create a cavity and may partially restore height before cement placement, with some studies showing lower leakage rates. Both procedures are best for carefully selected patients with concordant clinical and imaging findings.
Our approach is pragmatic and safety‑focused. We coordinate with radiology for MRI confirmation, involve endocrinology/rheumatology for bone health optimization, and plan anesthesia tailored to your medical profile. As Orthopedic Surgeons, we lead case selection, access trajectory, cement handling, and post‑procedure mobilization to maximize benefit and minimize risk.
Who Is a Candidate & When to Act
Good candidates
Acute or subacute osteoporotic VCF with MRI edema and focal, reproducible pain; severe pain preventing mobilization despite optimized medication and bracing; intolerance to analgesics; or high fall risk due to pain‑limited mobility.
When to avoid
Asymptomatic VCFs; chronic fractures without MRI edema; neurological deficit from retropulsed fragments (needs decompression assessment); systemic or local infection; uncorrected coagulopathy; unstable burst fractures with significant posterior wall compromise.
Goals & expectations
Stabilize the fracture, reduce pain, enable earlier sitting/standing/walking, reduce opioid needs, and allow you to start bone‑strengthening therapies. Height restoration is variable; pain relief is the main goal.
Vertebroplasty and Kyphoplasty in Delhi is recommended only when benefits clearly outweigh risks and conservative care has been appropriately attempted.
Evaluation & Imaging
- Clinical correlation: Midline tenderness at a specific level, worsened by standing or sitting; screen for red flags (fever, neurological deficit).
- X‑rays: Standing lateral/AP to quantify wedge angle and monitor progression.
- MRI (ideally with STIR): Confirms acuity (bone marrow edema), excludes sinister causes (malignancy/infection), and checks posterior wall integrity.
- CT (select cases): Clarifies cortical breaches and retropulsion when MRI is equivocal or contraindicated.
- Bone health labs & DXA: Vitamin D, calcium, renal/thyroid status as indicated; dual‑energy X‑ray absorptiometry for baseline T‑scores.
Clear imaging‑symptom match is essential—cement augmentation won’t help pain from other sources.
Procedure: Vertebroplasty and Kyphoplasty
Both procedures are done through tiny skin punctures using fluoroscopy to guide a working cannula into the vertebral body. We perform careful cement mixing and timing to achieve the right viscosity, injecting under live imaging to watch cement spread and halt immediately at any sign of extra‑osseous flow.
Vertebroplasty
Direct PMMA injection via transpedicular or parapedicular approach to stabilize micro‑motion at the fracture site. Useful for rapid pain relief in well‑selected cases.
Kyphoplasty
Balloon creates a cavity and may reduce the wedge deformity, potentially lowering cement leakage by allowing thicker cement placement at lower pressures.
Levels & timing
Most patients need treatment at a single level; occasionally adjacent levels are treated in the same sitting if clearly symptomatic. Total time is typically 30–60 minutes per level.
We tailor vertebroplasty versus kyphoplasty to your fracture pattern, bone quality, and leakage risk on imaging.
Anesthesia & Pain Strategy
Most cases are performed under local anesthesia with conscious sedation; select patients benefit from regional or general anesthesia. We use multimodal, opioid‑sparing analgesia and simple dosing schedules to ease same‑day or next‑day mobilization.
- Local + sedation: Reduces anesthesia risks in older adults and allows responsive feedback during cement injection.
- Opioid‑sparing plan: Paracetamol ± anti‑inflammatories when appropriate; gastric/renal precautions individualized.
- Medical optimization: Glucose control in diabetics, blood pressure stability, and DVT prophylaxis risk‑stratified.
Safety, Risks & How We Reduce Them
All procedures carry risks. Our emphasis is careful selection, meticulous imaging guidance, and cement control to reduce complications while aiming for meaningful pain relief.
Cement leakage
The most common event; usually clinically silent. Risk mitigation: cavity creation (kyphoplasty when indicated), higher‑viscosity cement, slow injection, continuous biplanar fluoroscopy, and immediate stop at any extravasation.
Neurological/vascular injury
Rare radicular pain or cord compromise if cement migrates posteriorly. Strict posterior wall assessment on MRI/CT and conservative injection near the posterior third minimize risk.
Pulmonary embolization
Very rare. Low‑pressure injection and avoidance of venous channels reduce risk; we monitor saturation and hemodynamics.
Infection & bleeding
Sterile technique, peri‑procedural antibiotics as indicated, and INR/platelet checks for those on anticoagulants.
Adjacent‑level fracture
Some patients develop new fractures over time due to underlying osteoporosis. Comprehensive bone health treatment is key to prevention.
Recovery, Activity & Follow‑Up
Many patients notice meaningful pain reduction within 24–72 hours and can sit, stand, and walk with less support. You’ll receive a simple activity plan and precautions while the puncture sites heal.
- Day 0–2: Short walks at home, avoid heavy lifting and flexion extremes, wound care for small puncture sites.
- Week 1–3: Gradually increase walking; light household activities; review bone meds and vitamin D/calcium compliance.
- Week 3–6: Progressive return to routine; gentle back conditioning as pain allows.
We do not provide physiotherapy services in‑house. We supply written protocols and coordinate with your physiotherapist for posture, pacing, and graded activity.
Osteoporosis Work‑Up & Prevention
DXA & labs
Bone density testing (DXA) and targeted blood tests to identify secondary causes of osteoporosis.
Medication
Appropriate anti‑resorptives or bone‑forming agents (per your physician), plus vitamin D and calcium as indicated.
Fall prevention
Home hazard review, vision check, medication rationalization, and balance training with your physiotherapist.
Lifestyle
Adequate protein, sunlight exposure, smoking cessation, moderated alcohol, and gradual weight‑bearing activity.
Addressing bone health lowers the risk of future VCFs and preserves independence.
Cost & Insurance
Costs vary by the number of levels treated, vertebroplasty versus kyphoplasty, implant/balloon systems, anesthesia type, imaging time, and inpatient observation needs. Most insurers cover medically indicated vertebral augmentation for painful osteoporotic fractures with appropriate imaging. We verify benefits and provide a transparent estimate before scheduling your Vertebroplasty and Kyphoplasty in Delhi.
- Insurance pre‑authorization & benefits check
- Clear estimate of hospital, anesthesia, and surgeon fees
- Cashless/financing options where applicable
How to Prepare
Records & imaging
Bring prior notes, recent X‑rays/MRI/CT on CD, and any DXA scans; a pain diary is helpful.
Medications
Share your blood thinner list; some agents need a timed pause. Bring diabetes meds/insulin plan for day of procedure.
Fasting & escort
For sedation, fast as advised and arrange a responsible adult to accompany you home.
Home setup
Prepare a firm chair with armrests, avoid low couches, and keep essentials at waist level to limit bending.
Physio details
We do not provide physiotherapy in‑house; share your physiotherapist’s contact so we can align written protocols.
Where to Consult Dr. Neelabh
BLK Hospital
A-4-6, Pusa Rd, Near Rajendra Place Metro Station, New Delhi-110005
🕓 4:00 PM – 6:00 PM
Timings may vary—please call +91‑9810117204 to confirm.
FAQs
How quickly does pain improve after vertebroplasty or kyphoplasty?
What’s the difference between vertebroplasty and kyphoplasty?
Are there non‑surgical alternatives?
Is cement leakage dangerous?
Do you provide physiotherapy?
Need Vertebroplasty and Kyphoplasty in Delhi?
Book a consultation. We’ll confirm candidacy with MRI, discuss vertebroplasty versus kyphoplasty, and plan safe, early mobilization.