Case Study – Balloon Kyphoplasty: T1 Compression Fracture, Osteoporosis

Case History
This 69 year old male with a history of prostate cancer presented with back pain. This 69 year old male with a history of prostate cancer presented with back pain.

X-ray and MRI revealed a biconcave fracture at T6. The midline portion was X-ray and MRI revealed a biconcave fracture at T6. The midline portion was collapsed and the patient had an overall loss of standing height. Balloon collapsed and the patient had an overall loss of standing height. Balloon kyphoplasty was done at 1 week. kyphoplasty was done at 1 week.

Procedure & Results
A transpedicular approach with the KyphX Xpander A transpedicular approach with the KyphX Xpander® IBT 15/3 balloon was used IBT 15/3 balloon was used with the patient under MAC sedation.Direction of in with the patient under MAC sedation. Direction of in.ation was superior with a ation was superior with a balloon volume of 2cc. on each side. Cement fill of 4cc. was directed into the balloon volume of 2cc. on each side. Endplates were realigned and a notable reduction in cavity created by the IBTs. Four hours post-procedure, the patient reported no back kyphosis was observed. At 6 week follow-up the patient remained pain free. The biopsy showed no pain.At 6 week follow-up the patient remained pain free. The biopsy showed no evidence of metastasis. evidence of metastasis.

Pre-kyphoplasty: Pathologic compression Pre-kyphoplasty:
Pathologic compression fracture (vertebra plana) at L1
. fracture (vertebra plana) at L1.

Post-kyphoplasty: Significant correction of Post-kyphoplasty:
Significant correction of vertebra plana.

Case Information
Specialist: Specialist: Kenny Hawkins, M.D.
Interventional Radiologist Kenny Hawkins, M.D.
Interventional Radiologist Products Used: Products Used: KyphX Xpander KyphX Xpander® IBT 15/3
Treatment Date: June 2006

Note: Some/all of the physicians featured in Kyphon case studies are paid consultants. Research may have been funded partially or in whole, by Kyphon Inc