PROCEDURE:     kyphoplasty 

CLINICAL INDICATION: Back pain with diminished ability to ambulate. Patient presents for kyphoplasty for pain relief. MRI shows subacute compression fracture at    .

OPERATORS: 

MEDICATIONS: Per nursing flow sheet.

COMPLICATIONS: None immediately

 

PROCEDURE: Following informed written consent, the patient was placed in the prone position on the interventional radiology table. The patient’s lower back was prepped and draped in the usual sterile fashion. Using fluoroscopic guidance, a Striker kyphoplasty access needle was placed using a transpedicular approach through the left ____ pedicle.  The needle tip was advanced to the posterior third of the vertebral body, with special attention such that the medial aspect of the pedicle was not transgressed.  Using a similar approach, a second access needle was placed from a right     approach to the posterior third of the     vertebral body. The drill was then advanced to the anterior one-third of the vertebral body on each side.

The kyphoplasty balloons were inserted into each cannula under fluoroscopic guidance and inflated with care. The cement was mixed, and kyphoplasty balloons removed after being deflated. The cement was injected under fluoroscopy at the     level through the access needles. Cement injection was stopped once there was adequate fill of the vertebral body. The cannulas were removed carefully under fluoroscopic guidance. Hemostasis was achieved with light manual compression. The patient tolerated the procedure well. The patient was then sent from the interventional radiology suite to the post procedural care area for recovery.

 

FINDINGS: Compression fracture at the ____vertebral level with approximately ___loss of central vertebral body height. Post kyphoplasty image demonstrates cement appropriately within the____vertebral level with slight restoration of height.

 

IMPRESSION: Successful ___ fluoroscopic guided kyphoplasty.