Balloon Kyphoplasty
The London Spine Unit : best recognised treatment facility on Harley Street UK
Published article
Patients with vertebral compression fractures are often indicated for balloon kyphoplasty. Many of them are elderly with severe comorbidities, which puts them at high risk for general anaesthesia. Surgery under infiltration of local anaesthetic with or without mild sedation is therefore the preferred technique used by many surgeons. However, patients reported moderate‑to‑severe pain during the procedure. A combination of regional anaesthesia with analgo-sedation offers an interesting alternative…
Balloon Kyphoplasty Expert. Best Spinal Surgeon UK
The London Spine Unit is a specialist clinic for Balloon Kyphoplasty as Day Surgery.
Abstract
Patients with vertebral compression fractures are often indicated for balloon kyphoplasty. Many of them are elderly with severe comorbidities, which puts them at high risk for general anaesthesia. Surgery under infiltration of local anaesthetic with or without mild sedation is therefore the preferred technique used by many surgeons. However, patients reported moderate‑to‑severe pain during the procedure. A combination of regional anaesthesia with analgo-sedation offers an interesting alternative to general anaesthesia as well as infiltration administered by the surgeon. In this article we present, apart from general anaesthesia, various regional anaesthetic techniques suitable for high-risk patients, including neuraxial anaesthesia, paravertebral block as well as a novel “erector spinae plane block” at the level of the fractured vertebra. We explore their effectiveness and safety profile, as well as advantage of supplementation of adequate analgo-sedation (Ref. 40). Keywords: erector spinae plane block, kyphoplasty, regional anaesthesia, paravertebral block, neuraxial anaesthesia.
The London Spine Unit : best recognised treatment facility on Harley Street UK
Read the original publication from Pubmed :
Anaesthetic considerations for high-risk patient kyphoplasty