Fairfax Radiological Consultants

To Schedule an Appointment Call:
703.698.4488

Vertebral Fracture and Kyphoplasty

What is a Vertebral Fracture?

A vertebral compression fracture is an injury to one of the “back bones” making up the spine resulting in breakage and collapse of the bone structure.

They can be a result of osteoporosis, trauma or an abnormality within the actual bone due to malignant and benign conditions.

Vertebral Fracture

What are the symptoms?

Many times, vertebral fractures are present without symptoms, these typically happen slowly over time due to osteoporosis. However, a more sudden fracture can result in significant pain with varying symptoms, including pain in the middle of your back, pain radiating to the sides and muscle spasm. This can result in difficulty walking, bearing weight or standing. Overtime the spine can bow due to multiple fractures in a condition called kyphosis, resulting in a hunch. Your interventional radiologist will perform a thorough clinical and physical assessment, as well as evaluate your imaging to determine the etiology of your symptoms.

How many occur each year?

Around 700,000 vertebral fractures occur each year and 115,000 hospitializations as a result. 
There is a 10-25% lifetime risk of having a vertebral fracture.

kypho01 UP TO OF PATIENTS 31% Experience Chronic Pain kypho02 UP TO OF MALES 20% UP TO OF FEMALES 50% With Osteoporosis Can Have a Fracture kypho03 OF PEOPLE 25% With Cancer in the Spine Can Have a Fracture

Can these fractures be treated?

Treatment for vertebral fractures depends on how recent the fracture is, the duration of discomfort, the type of fracture and the degree of disability.

Options for short-term treatment include pain control, physical therapy with a long-term emphasis on treating the underlying cause such as osteoporosis.

In cases of pain that is not well controlled despite medication or severe debilitation or in patients who cannot receive or tolerate pain medications, vertebral augmentation is indicated. Vertebral augmentation includes treatments like Vertebroplasty and Kyphoplasty.

Your interventional radiologist in conjunction with your primary care doctor will assist in guiding you through the appropriate route of management.

What is Kyphoplasty?

Kyphoplasty is a minimally invasive surgical technique that uses the placement of two small balloons in the fractured vertebral body in order to elevate the collapsed portion, and then subsequently fills it with cement to support it and treat the pain that is originating from the fractured portion.

Vertebra Kyphoplasty

How is kyphoplasty performed?

Kyphoplasty is overall a low risk procedure. Under the guidance of fluoroscopy (live video x-ray) after administration of anesthesia or light sedation, your interventional radiologist will administer local numbing medication over the vertebral body to be treated. Two small needles are then inserted, one on either side, and once placed in the vertebral body, two balloons are placed through the needles to be inflated inside the fractured portion to create space and decrease the compression. Cement is then injected and allowed to harden. The needles are then removed. Our interventional radiologists will thoroughly discuss the procedure and answer questions during your clinic visit.

What can I expect after?

Minimal discomfort at the points of needle entry may be present for a few hours. Some bruising can also occur in this region. Overall, if the pain is entirely related to the fracture, it will slowly begin to improve, in the best cases, within hours of the procedure, but more typically over the course of the week.

Occasionally, residual pain may remain from nerve irritation or other back problems such as disc or muscle issues, secondary to the initial fracture.

The success rate of Kyphoplasty (or Vertebroplasty) is typically quite high.

Kyphoplasty / Vertebroplasty Benefits

 

kypho04 WALKING WITHIN HOURS 24 kypho05 AT LEAST REDUCTION IN PAIN 50% kypho06 SIGNIFICANT IMPROVEMENT IN QUALITY OF LIFE kypho07 REDUCED RISK OF ADJACENT FRACTURES Compared to only medical therapy kypho08 REDUCTION IN PAIN MEDICATION AND OPIOID USE

Can I have Kyphoplasty if I have a bone tumor?

Kyphoplasty is used in the setting of painful tumor involvement of the vertebral bodies. The only difference in this process is the addition of tumor ablation.

Tumor ablation is a minimally invasive option for patients with painful metastatic spinal tumors. A small instrument enters the vertebrae through a small incision. Heat is used to destroy the cancer cells. The device is removed once the tumor has been ablated.

Once the tumor is treated, a balloon is then utilized to create space and fill the vertebral body with cement to strengthen it. The combination of these two treatments is typically highly successful in improving pain and disability from cancer involving bone with a major benefit being improved mobility and reduction in pain medication usage.

Kyphoplasty

Why Choose Fairfax Vascular Center?

 

Over 100 years of combined clinical experience.

Fairfax Vascular Center is one of the largest, long-established interventional radiology practices with more than 100 years of combined clinical experience.

Specialize in Kyphoplasty and Vertebroplasty.

Our highly trained interventional radiologists are early adopters in spine intervention and among some of the most experienced in kyphoplasty and vertebroplasty, both in the setting of benign and malignant fractures. Interventional radiologists as well as our subspecialized spine radiologists are the leading experts in imaging interpretation as well image-guided diagnosis and treatment.

Dedicated to helping you through your treatment journey.

Our physicians are available 24/7 to ensure you are well taken care of from the time of consultation through your treatment and follow up.

State of the art imaging with subspecialty trained physicians.

Fairfax Vascular Center is part of Fairfax Radiology Centers, the largest and oldest diagnostic radiology group in the metro DC and surrounding region, allowing us to provide our patients with leading edge-imaging technologies and the most experienced diagnostic and interventional radiologists with subspeciality training.

Team approach to care.

We firmly believe that multidisciplinary care is in the best interest of our patients and closely partner with our referring physicians to make sure that your care is in the best hands and you gain the best possible outcome.

Common Questions

  • Why would my physician recommend Kyphoplasty?

    Your physician may recommend Kyphoplasty if you suffered a fracture of the vertebrae or have been diagnosed with osteoporosis or a tumor that caused a vertebral compression fracture (VCF) and you are not getting relief from less invasive treatment options.

  • How does Kyphoplasty work?

    During this procedure, a balloon is inserted through a trocar (hollow needle) into the vertebra and inflated to create an opening. The balloon is removed and a special cement mixture is inserted into the opening providing stability for vertebrae that have become porous, broken or compressed.

  • What do I need to do before my procedure?

    You will be given detailed instructions by our staff before your procedure. In general, do not eat, drink or smoke anything after midnight the night before your procedure. This includes breath mints, gum and tobacco. Patients should notify staff if they are diabetic, taking anticoagulants (blood thinners) or allergic to anesthesia. Be sure to bring your insurance card, photo ID, list of current medications (dose and frequency) and any diagnostic testing results.

  • What should I expect during a Kyphoplasty procedure?

    Before the exam, your physician will order several tests including imaging tests, blood tests and X-rays. During the exam, you will lie facedown on a table. You will be connected to monitors that will track your vitals during the procedure. You will receive a sedative or anesthesia. In addition, you may be given antibiotics to prevent infection, as well as anti-nausea and pain medications. The area where the needle will be inserted will be sterilized and numbed. A small incision is then made where the tube is inserted and passed into the fractured area using an imaging device to guide it to the exact vertebra. Once at the site, the balloon is inflated to create an opening for the cement. The balloon is then removed, and special orthopedic cement is injected into the opening. Once the opening is filled, all tubes are removed, pressure is applied to the incision area and it is covered with a bandage.

  • What will I feel during the Kyphoplasty procedure?

    You will feel a slight sting when the needles are inserted for the IV line and the anesthesia. If you receive sedation, you will feel relaxed and sleepy and may or may not be partially awake during the procedure. You may feel some pressure when the needle is inserted, but no serious pain.

  • What should I expect after a Kyphoplasty procedure?

    You will be at bedrest for two hours after the procedure. Be sure to arrange a ride home from the procedure if you live close by. Otherwise, it is recommended that you have someone drive you to a nearby hotel so that you do not have to sit in the car for a long period of time immediately following the procedure. You may feel mild pain. This usually goes away after a few of days. In fact, many patients feel relief from their VCF pain within two days—and some immediately.

  • How do I schedule a Kyphoplasty procedure with Fairfax Vascular Center?

    Before scheduling an appointment, you will need to get a referral from your physician. Once you have a referral, you can schedule an appointment by calling 703.698.4475 Monday through Friday 7am to 5pm.

  • When are appointments offered for Kyphoplasty procedures?

    Appointments are available at Fairfax Vascular Center Monday through Friday, 7am to 5pm. Learn more about this location.

Our Physicians

Paul Reha Butros, M.D.

Paul Reha Butros, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Body Imaging
Read more

Paul Reha Butros, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Body Imaging
Medical School

Baskent University School of Medicine
Completed 2005

Residency

Detroit Medical Center - Wayne State University
Completed 2012

Fellowship

Massachusetts General Hospital/Harvard Medical School
Completed 2014

Miami Cardiac and Vascular Institute
Completed 2015

Board Certification

American Board of Radiology - Diplomate
2012

Professional Affiliations & Memberships

American College of Radiology
American Medical Association
American Roentgen Ray Society
Medical Society of Virginia
Radiology Society of North America
Society of Interventional Radiology

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Alain T. Drooz, M.D.

Alain T. Drooz, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Read more

Alain T. Drooz, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Medical School

University of North Carolina

Residency

New York University Medical Center
Completed 1988

Fellowship

New York University Medical Center
Body Imaging
Completed 1989

New York University Medical Center
Interventional Radiology
Completed 1990

Board Certification

American Board of Radiology
1989

Professional Affiliations & Memberships

American College of Radiology
Radiological Society of North America
Society of Cardiovascular and Interventional Radiology
Society of Vascular Medicine and Biology - Fellow
Fairfax County Medical Society

Accolades

Top Doctor
Washingtonian Magazine
Northern Virginia Magazine

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Aaron R. DuCoffe, M.D.

Aaron R. DuCoffe, M.D.

Joined Practice:
Body Imaging
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Read more

Aaron R. DuCoffe, M.D.

Joined Practice:
Body Imaging
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Medical School

Emory University School of Medicine 
Completed 2013

Residency

University of Florida College of Medicine
Orthopaedic Surgery
Completed 2014

Georgetown University Medical Center
Diagnostic Radiology
Completed 2019

Fellowship

United States Department of Health and Human Services 
Healthcare Policy/Quality - Opioid Safety
Completed 2015

Emory University School of Medicine 
Vascular & Interventional Radiology
Completed 2020

Board Certification

American Board of Radiology 
Board Eligible 2021
Completed 2018

Professional Affiliations & Memberships

Radiology Society of North America
Society of Interventional Radiology 
American College of Radiology
Reviewer for Pain Medicine
National Ski Patrol

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Michael G. Karnaze, M.D.

Michael G. Karnaze, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Read more

Michael G. Karnaze, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Medical School

University of Kansas School of Medicine
Completed 1982

Residency

Mallinckrodt Institute of Radiology
Completed 1987

Fellowship

Alexandria Hospital
Interventional Radiology
Completed 1988

Board Certification

American Board of Radiology
Diagnostic Radiology 1987
Interventional Radiology 1995

Professional Affiliations & Memberships

Society of Cardiovascular and Interventional Radiology
Chesapeake Interventional Radiology Society (President 1996)
American Heart Association
American College of Radiology
Radiology Society of North America
American Roentgen Ray Society

Accolades

Top Doctor 
Washingtonian Magazine
Northern Virginia Magazine

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Hong Lim, M.D.

Hong Lim, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Read more

Hong Lim, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Medical School

University of Medicine & Dentistry
Completed 2001

Residency

University of Medicine & Dentistry
Completed 2006

Fellowship

Baptist Cardiac and Vascular Institute
Completed 2008

Board Certification

American Board of Radiology
2006

Professional Affiliations & Memberships

Radiological Society of North America
American College of Radiology
Society of Interventional Radiology

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David J. Spinosa, M.D.

David J. Spinosa, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Read more

David J. Spinosa, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Medical School

Tufts University School of Medicine
Completed 1984

Residency

Georgetown University Hospital
Radiology
Completed 1992

New England Deaconess Hospital
Surgery
Completed 1987

Fellowship

University of Virginia
Angiography and Interventional Radiology
Completed 1993

Board Certification

American Board of Radiology
Radiology - 1992
Angiography and Interventional Radiology - 1995

Professional Affiliations & Memberships

Society of Interventional Radiologists
American College of Radiology

Accolades

Top Doctor
Washingtonian Magazine
Northern Virginia Magazine

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Mustafa M. Syed, D.O.

Mustafa M. Syed, D.O.

Joined Practice:
Diagnostic Radiology
Vascular & Interventional Radiology
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Mustafa M. Syed, D.O.

Joined Practice:
Diagnostic Radiology
Vascular & Interventional Radiology
Medical School

New York College of Osteopathic Medicine

Completed 2011

Residency

Mount Sinai West Hospital Center 

Completed 2016

Fellowship

Mount Sinai Hospital, Vascular and Interventional Radiology

Completed 2017

Board Certification

American Board of Radiology, 2017

Professional Affiliations & Memberships

Radiological Society of North America

American College of Radiology

American Board of Radiology

Society of Interventional Radiology

 

 

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Jay D. Varma, M.D.

Jay D. Varma, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Read more

Jay D. Varma, M.D.

Joined Practice:
Diagnostic Radiology
Ultrasound
Vascular & Interventional Radiology
Medical School

University of Maryland
Completed 1996

Residency

Boston University Medical Center
Completed 2001

Fellowship

Harvard Medical School
Completed 2002

Board Certification

American Board of Radiology
Radiology - 2001
Interventional Radiology - 2003

Professional Affiliations & Memberships

Cardiovascular and Interventional Society of Europe
Chesapeake Interventional Radiology Society 
Medical Society of the District of Columbia
Society of Interventional Radiology
American Roentgen Ray Society
Radiological Society of North America

Accolades

Top Doctor
Washingtonian Magazine
Northern Virginia Magazine

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Related Resources

Available at the following location

Fairfax Radiology Vascular Center

Fairfax Radiology Vascular Center

8505 Arlington Boulevard
Suite 400
Fairfax, VA 22031
United States

Tel
703.698.4475
Fax
703.573.4237

Request a Telephone Consultation

Please provide the following information and one of our physicians or experienced staff members will call you back shortly.

If you need an immediate appointment, please call 703.698.4475.