Has anyone had luck with kyphoplasty for compression fractures.

Posted by pinetreestate @pinetreestate, Nov 16, 2023

I am having kyphoplasty on December5, for l1 and l2.
I have osteoporosis and hope this wil stabilize my spine.
Has anyone else had this procedure?
Thank you!

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@tilou

I just have a compression fracture and my surgeon didnt propose a kyphoplasty so I am in a support belt only waiting for it to heal on its own.
I must say that my age might be a problem for that procedure, so we will see.

Jump to this post

kyphoplasty can restore some of the height lost with compression fractures. There is some advantage in recovering that configuration of the spine. With kyphoplasty you would have less reduction of the space where the nerves exit the spinal canal. And you reduce the forward curvature of the normal kyphosis. It seals the disturbed nerve in the vertebral body and can immedicately reduce the pain of the fracture. The procedure prevents the original fracture from advancing.
While these five advantages are compelling there is another story to be told. It is possible to overfill the fractured space. In those rare cases bone cement can end up where it causes additional pain. Another complication might be that because the bone cement is heavier than the original bone, it can precipitate subsequent fractures in lower vertebra.
Surgeons don't usually perform the procedure. Pain specialists would be more likely to recommend kyphoplasty. You would want someone with experience in the procedure. Interventional Radiologist are a good bet.
Given the advantages and my low willingness to accept pain, I wouldn't hesitate to have kyphoplasty. I would have vertebraplasty if too much time had elapsed for kyphoplasty.
Age alone would not preclude suitability for the procedure.
You might consider seeing a pain specialist.
Bless your choice with luck

REPLY

Thank you so much for this helpful information.
I was starting to feel better and cancelled my kyphoplasty.
Yesterday I sneezed, and pain started up all over again.

REPLY
@pinetreestate

Thank you so much for this helpful information.
I was starting to feel better and cancelled my kyphoplasty.
Yesterday I sneezed, and pain started up all over again.

Jump to this post

Highly recommend interventional radiologist for kyphoplasty! Enables you to resume exercise sooner, too.

REPLY
@sallyj2

Highly recommend interventional radiologist for kyphoplasty! Enables you to resume exercise sooner, too.

Jump to this post

Thank you!

REPLY
@mayblin

hi everyone! how do you know that you had a fracture along the spine? is it pain or discomfort that one won't miss it? what test do doctors do to confirm fractures? for asymptomatic fractures, do doctors periodically do tests like xray to check?

I'm new to osteoporosis and on treatment with forteo currently. I did remember that doctor asked me several times if I had any features in the past. one wouldn't know if the fracture is asymptomatic, right?

Jump to this post

My 82 year-old hubby is currently recovering from his second kyphoplasty that he had 2 weeks ago. The compression fracture (T9) was diagnosed with an X-ray, and confirmed by an MRI. His orthopedic spine surgeon made an appointment for him to see an Endocrinologist for possible Forteo or Tymlos osteoporosis meds. Have you or any of you had experience or side effects with these?

REPLY
@grrranny

My 82 year-old hubby is currently recovering from his second kyphoplasty that he had 2 weeks ago. The compression fracture (T9) was diagnosed with an X-ray, and confirmed by an MRI. His orthopedic spine surgeon made an appointment for him to see an Endocrinologist for possible Forteo or Tymlos osteoporosis meds. Have you or any of you had experience or side effects with these?

Jump to this post

@grrranny I'm currently taking Forteo. For the first month and a half when starting the drug, I had low blood pressure in low80s/low50s all day long. This made me very tired and not wanting to get out of bed in the morning and not wanting to exercise at all for that period. My doctor advised me to drink 10-12 cups of water, adding some salt if needed. I think her advice helped my body to get used to the drug. After month 2, I don't feel anything. Hope this help.

Best wishes!

REPLY

Thanks for the report, Mayblin.
Glad it’s going well for you!

REPLY
@grrranny

My 82 year-old hubby is currently recovering from his second kyphoplasty that he had 2 weeks ago. The compression fracture (T9) was diagnosed with an X-ray, and confirmed by an MRI. His orthopedic spine surgeon made an appointment for him to see an Endocrinologist for possible Forteo or Tymlos osteoporosis meds. Have you or any of you had experience or side effects with these?

Jump to this post

grranny,
I'm on Forteo my ninth month. I haven't had any negative effects.
Forteo and Tymlos both lower blood pressure following the injection and lasting for about four hours. Vasodilation is immediate can cause headache and dizziness in some.
Mayblin's advice about hydration and salt can significantly reduce these two effects.
I add 250mg of calcium 2 hours before the injection.
Some people take the shot at night as a safety measure, but the extra fluid may make you use the restroom and then there is increased danger of falling.
But some bodies can' tolerate Forteo and some can't tolerate Tymlos. If your darling isn't a complainer, you'll have to watch, quiz him, and be ready to switch medications.
Keep us posted; now we are all invested in his success,

REPLY

I have had 3 compression fractures (or more now) over the past 3 years. All have been extremely painful, and now knowing more about it, I cannot imagine any asymptomatic fractures occurring. They are detected by xray, depending on what type of care you are getting, you could always request. Also MRI, but xrays are much less expensive. In my case, none of mine were associated with an injury or trama events, just every day type of actions/movements. I have been diagnosed with osteoporosis and MGUS, within the past 8 months. I am 55. I haven't chosen a specific treatment yet for the osteo due to trying to figure some other issues out as well so I can best address the whole health picture. My endocrinologist recommended Prolia, but my bone density is normal, so the overall picture is not clear. Best of luck to you!

REPLY
@khowe2000

I have had 3 compression fractures (or more now) over the past 3 years. All have been extremely painful, and now knowing more about it, I cannot imagine any asymptomatic fractures occurring. They are detected by xray, depending on what type of care you are getting, you could always request. Also MRI, but xrays are much less expensive. In my case, none of mine were associated with an injury or trama events, just every day type of actions/movements. I have been diagnosed with osteoporosis and MGUS, within the past 8 months. I am 55. I haven't chosen a specific treatment yet for the osteo due to trying to figure some other issues out as well so I can best address the whole health picture. My endocrinologist recommended Prolia, but my bone density is normal, so the overall picture is not clear. Best of luck to you!

Jump to this post

Can you clarify when you say you were diagnosed with osteoporosis, yet your bone density is normal? Just curious what your T scores were when you had your fractures. Thank you.

REPLY
Please sign in or register to post a reply.