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New Treatment for Collapsing Vertebrae

This is a discussion on New Treatment for Collapsing Vertebrae within the Emerging Spine Surgery Technologies forums, part of the Spine Surgery Support category; I was just watching the late National News on CTV, and there was a story about a woman from Toronto ...

  1. #1
    Senior Member Katie's Avatar
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    Default New Treatment for Collapsing Vertebrae

    I was just watching the late National News on CTV, and there was a story about a woman from Toronto who recently had a new procedure on her degenerating vertebrae which were causing her great pain.

    The surgeon from McGill University in Montreal, Dr. Jarzam, drilled tubes into the shrunken bone and then enlarged them, somewhat like opening up a clogged artery or vein. (Sorry for the lack of technical terms here Justin ) When the vertebrae were sufficiently returned to a normal height, the surgeon then injected cement to retain the new height.

    I will try and find a proper link to it tomorrow and report back. The patient gave it rave reviews, saying it took her from unbearable pain to virtually a pain free life.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  2. #2
    Senior Member Katie's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae (Balloon Kyphoplasty) Update

    Here is the link to the CTV news clip and two videos about the newest treatment for collapsed vertebrae from osteoporosis.

    Cement offers quicker fix for fractured vertebrae - CTV News

    I was mistaken about the name of the surgeon who did the procedure. It is Dr. Roger Smith, an interventional neuroradiologist at Toronto's University Health Network, rather than Dr. Jarzem of Montreal, who was speaking in the first video above.

    From the time the patient first experienced severe pain from her broken vertebrae till surgery was only four months. That has to be a record. Much better than the almost five years I had to wait for out of country surgery. I'm very glad to see that progress in some areas is being made.

    If you can not open the link above, please let me know, and I will cut and paste the text that accompanies the story.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  3. #3
    Founder / Administrator Justin's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae

    Katie, thank you for sharing this information with the Spine Patient Society!


    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  4. #4
    Senior Member Katie's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae

    Can you open the link from south of the border, Justin? I often can't access US sites from up here.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

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    Senior Member ajj1001's Avatar
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    Default

    Quote Originally Posted by Katie View Post
    Can you open the link from south of the border, Justin? I often can't access US sites from up here.
    it's working here, really interesting.

  6. #6
    Senior Member Katie's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae

    Oh good...even better that it can travel across the pond I can never understand it when sites 'can only be accessed from USA' or some such thing. It happens a lot with past episodes of tv programs that I'm trying to catch up on...you know, the important things in life
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  7. #7
    Moderator Cindylou's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae

    Sounds like vertebroplasty to me, no? CL

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    Senior Member KanRunMo's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae

    I think I must have run into this thread somewhere else since I'm thinking I already replied. I think that procedure is the same as kyphoplasty. Also my gyno recommended Forteo, a prescription that's supposed to build back bones that are compression fractures due to osteopenia or osteoporosis. It's supposed to be better than Fosamax or Boniva both oral medications. I'm not sure if it works better than Reclast which is the once a year IV for osteoporosis.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

  9. #9
    Senior Member KanRunMo's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae

    A few weeks later: After reading again.
    First - CL - The difference between kyphoplasty and vertebroplasty is that is kyphoplasty, besides a tube going down to the vertebra fracture, it also inserts a balloon to raise up the fracture so the vertebra now has the same height as it originally had. Then the bone glue is inserted through the tube and into the inflated balloon so that not only is the fracture fixed but the vertebrae is now wider. In vertebroplasty they don't insert a balloon so the fracture is fixed but not the vertebra height.
    Someone (not a medical person) I talked with this morning said it has to be done within a few weeks of the fracture. I know that is preferable because the bone has not yet repaired itself but if they are inserting a tube into the bone, it seems like the balloon could also be inserted and help raise the bone height. When my fracture first showed up on an MRI, no doctor suggested kyphoplasty. I have talked with two spine surgeons recently who were listed as doing kyphoplasty and neither one suggested it to me. I'm going to find out more about this procedure and if it can be done on fractures which have existed for a while.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

  10. #10
    Senior Member Katie's Avatar
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    Default Re: New Treatment for Collapsing Vertebrae

    So has kyphoplasty been around for awhile in the US? The news segment said it was new here in Canada. And I didn't know the difference, so couldn't address Cindylou's thoughts. And yes, they inserted a balloon within weeks of the patient's vertebrae collapsing up here near Toronto. I hope it is a long term solution for her, and a possibility for you too.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

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