At Home with Dr Christian Jessen - 117

| PROMOTION|

Get back on
track

For spinal fractures, the balloon kyphoplasty
procedure is a quick and effective way to
stop pain with minimal recovery time

W

hile there are plenty of
old adages, such as '40
is the new 30', 'life begins
at 50 (or is it 60?)' - for
some people, life really begins at 80.
Due to modern day living standards
and improving health care we, as a
nation, are living longer and enjoying
hobbies much later into life than the
previous generation did.

Despite being more active, the body ages
with time and this means you are susceptible
to fractures, particularly of the spine. As a
consequence of osteoporosis or osteopaenia
(weak bones), many elderly people sustain
fractures of the spine. These can occur after
a simple fall, bending awkwardly or simply
straining your spine after lifting a heavy object.
The majority of spinal fractures, like any other
fractured bones, heal with time, the pain subsides
and the quality of life improves. However, a small
number of patients still have persistent fracture
pain affecting their quality of life significantly.

The diagnosis

An X-ray of the spine can show if a fracture has
occurred. A magnetic resonance imaging (MRI)
scan of the spine will show if a fracture has
healed or not. If the MRI shows the spinal
fracture has not healed and the patient is
clinically tender around the fractured vertebrae,
a balloon kyphoplasty procedure (see below)
may be used to relieve pain quickly.

What the procedure entails

Balloon kyphoplasty is a routine procedure
where bone cement is injected into the fractured
vertebrae to reduce the pain it is causing,
almost instantly. The procedure is available on
the NHS and privately and is National Institute
for Health and Care Excellence approved.
The procedure is usually performed under
a general anaesthetic and is keyhole surgery.
Two 1cm incisions are made over the fractured
vertebrae. Using special instruments, two
balloons are inserted into the fractured vertebrae
and inflated to make a cavity. Bone cement
is then inserted safely under low pressure.
This bone cement infiltrates the fractured
vertebrae, stabilising it and reducing the pain
almost instantly. A couple of stitches are used
to close the wounds, and patients are able to

move almost immediately without restriction.
As a precaution, there is usually an overnight
hospital stay. The majority of patients have
significant, immediate fracture pain relief.

after a failure of non-operative management. 'My
philosophy is to manage the unique individual
needs of the patient and to offer a sensible
spinal solution that they're happy with,' he says.

In safe hands

Mr Rath Sundaram MBChB, BSc (Hons),
MRCSEd, FRCSEd (Tr&Orth) (pictured, above) is
a spinal specialist who is dedicated to helping
you get the treatment that's right for you. He is
a double fellowship-trained surgeon working at
Gloucestershire NHS Foundation Trust, and
privately at the Nuffield Hospital, Cheltenham
and Winfield Hospital in Gloucester.
Mr Sundaram regularly performs balloon
kyphoplasty as well as many other spinal
interventional and surgical procedures. Spinal
surgical intervention is usually only recommended

FOR MORE INFORMATION
Private appointments can be made at the
Nuffield Hospital on 01242 246552 or
Winfield Hospital on 01452 331111.
Visit www.itsmyspine.co.uk


http://www.itsmyspine.co.uk

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