- Open reduction—This method is used if the bone is fragmented or difficult to repair, requiring screws, pins, rods, or a plate to hold it in place. The doctor makes a cut in the skin covering the break to expose the bone fragments. The bone fragments are moved into their normal position, and screws, pins, rods, or plates may be used to hold the realigned bones in place. Extremely severe fractures may require placement of a natural or artificial bone graft.
- Closed reduction—The doctor manipulates the bone fragments into their normal position and applies a cast or splint to hold them in place. There is no incision.
Vertebroplasty and Balloon Kyphoplasty
- Vertebroplasty —An acrylic cement is injected into a fractured and collapsed vertebrae. The cement strengthens the bone and decreases pain from the fracture.
- Balloon kyphoplasty—A tiny drill is used to create an opening in the bone. A special balloon is passed through. The balloon is inflated to open the space and correct the injured area. After the balloon is removed, acrylic cement is injected into the cavity. This will help to maintain the correction.
American Academy of Orthopaedic Surgeons website. Available at: http://www.aaos.org.
Carson-DeWitt R. Vertebroplasty and kyphoplasty. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary. Updated August 12, 2010. Accessed August 27, 2010.
Current Surgical Diagnosis and Treatment. 12th ed. McGraw-Hill Medical; 2005.
National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov.
Vertebral compression fracture. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary. Updated August 12, 2010. Accessed August 27, 2010.
- Reviewer: Michael Woods, MD
- Review Date: 05/2015 -
- Update Date: 05/20/2015 -