Kyphoplasty in Czechia

With the present progression rate in medical science, kyphoplasty has been gaining ground as a popular treatment for osteoporosis fractures. Osteoporosis makes the bones brittle and prone to frequent breakage. The demineralization of the bones mostly occurs with progressing age and can cause frequent fractures. In cases that involve fracturing of the vertebrae, kyphoplasty is highly implemented. The procedure is furnished through minute invasion and uses bone cement to join and restructure the broken bone. As compared to other spinal surgeries, the average kyphoplasty cost is $6000 and is performed in major countries across the world. 

What is Kyphoplasty?

Kyphoplasty is a type of spinal surgery that involves cementing fractured vertebral column. The surgery is swift and requires a minute invasion through which a trocar is inserted. For the correct insertion, the surgeons may require assistance for advanced X-Ray imaging, in order to locate the area of the fracture. Through the trocar, a balloon or kyphon is inserted, which then inflates and makes room for pouring the bone cement. 

Ideal Candidates for Kyphoplasty Surgery

In advanced stages of osteoporosis, bone fractures become frequent and need medical attention. However, surgical procedures like kyphoplasty are recommended only in case of bone fractures, or cracks in the vertebral column. Thus, ideal candidates for the procedure are individuals who:

  • Have suffered a minor vertebral fracture
  • Has exaggerated spacing between adjacent vertebrae
  • Has eroded or disintegrated vertebral column 
  • Is unresponsive towards long-term conservative treatments

Factors affecting the cost of Kyphoplasty

Kyphoplasty cost mostly depends on the kyphon kit or the balloon used in the surgery. In general, a single balloon costs approximately $3500, or more. Apart from this, the other factors affecting the cost are:

  • Number of procedures required 
  • An area where damage has been diagnosed
  • The extent of fracture occurred
  • Follow up treatments required.
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About the Kyphoplasty

Kyphoplasty is also known as balloon kyphoplasty. It is a minimally-invasive surgical procedure that can repair spinal fractures caused by cancer, osteoporosis, or benign lesions. It is not used for spinal stenosis treatment.

Kyphoplasty procedure is designed to relieve the intense pain caused by vertebral compression fractures, to stabilize the bone or to bring back some or all of the lost vertebral body height due to the compression fracture. Kyphoplasty or balloon kyphoplasty is a superb replacement of the typical conventional therapies such as analgesic use, bed rest, and bracing. It is a quick remedy for severe pain due to vertebral compression. It eliminates the pain almost immediately and the risk of complications during kyphoplasty is low. However, it is not intended for the treatment of arthritis or intervertebral disc disease. Kyphoplasty is different from discectomy, which is conducted in case of a herniated disc. Discectomy completely removes the damaged or herniated disc from the vertebrae of the patient.

Laminectomy and vertebroplasty are two other procedures that follow different techniques for stabilizing fractures. Laminectomy works by removing the lamina to create space, vertebroplasty works by injecting cement into the broken or cracked spine. For the same reason, vertebroplasty cost is different from kyphoplasty cost.

Who is the best candidate for kyphoplasty?

Kyphoplasty is typically suggested in case of:

  • Severe pain that cannot be controlled by pain-relieving medications
  • Severe functional restraints such as inability to walk or stand
  • Fractures resulting in loss of height and alignment
  • Multiple fractures in spine
  • Fractures with radical collapse
  • Fractures located at the thoracolumbar junction
  • Spondylolisthesis, that is, displacement of one vertebra over another

How is Kyphoplasty performed?

Kyphoplasty starts by administering a local or general anaesthesia to the patient. The patient remains unconscious during the entire procedure, and therefore, is not able to feel anything. After the anaesthesia, the patient may receive antibiotics to prevent infection.The patient is then made to lie down on their stomach and is connected to the pulse, heart, and blood pressure monitors. The following the four steps in kyphoplasty procedure:

  • Step 1:  The targeted area is cleaned and sterilized with a solution. The surgeon makes a narrow pathway into the fractured bone with a hollow needle (trocar). This incision site is about 1 cm in length. The surgeon guides the needle with the help of fluoroscopy.
  • Step 2: Now a small orthopaedic balloon is inserted into the trocar. Usually, two balloons are used in the procedure, one on each side of the vertebral body. It gives better support to the bone as it moves back into position and increases the tendency of deformity correction.
  • Step 3: Next, the balloon is gently inflated to create the space needed for the bone cement.
  • Step 4: Once a room has been created, the mixture is injected to fill it up. Fluoroscopy helps the surgeon confirm that the mixture is distributed accurately. After the cement is in place, the balloons are deflated and removed with a trocar.

No stitches are required during the procedure, but the incision is bandaged. The bone cement dries rapidly and forms an internal cast that holds the vertebral body in place. Kyphoplasty procedure takes less than one hour if only one vertebra is being treated. 

Recovery from Kyphoplasty

  • After kyphoplasty, you will have to stay in the recovery room for a short time. You may be allowed to get up and walk just after an hour of the procedure. However, you can feel some soreness that is common, but you should feel better within 48 hours of the procedure.
  • Usually, kyphoplasty is done as an outpatient procedure, so you may be able to go home the same day. But in some cases, kyphoplasty is also performed after admitting the patient. In such cases, the patient is required to stay in the hospital overnight for monitoring. Inpatient session for kyphoplasty is conducted if the procedure involves more than one vertebra or if there are any complications. Avoid lifting heavy objects and strenuous activities for at least six weeks. Apply ice to the wound area if you have pain where the incision was made. The patient is typically able to conduct daily activities after one week of the procedure. However, strenuous exertion and heavy lifting should be avoided for at least six weeks. It is important to follow the instructions given by the doctor for a speedy recovery after kyphoplasty.

Typically, kyphoplasty does not have any severe side effects. You may experience some minor side discomfort such as soreness and redness of the skin. These problems usually resolve on their own or with minimal medical management. However, you should consult the doctor in case the symptoms persist for more than a few days.

The chances of risks and complications from kyphoplasty are overall low. But some complications may arise nonetheless. Extravasation is one such procedure that can take place in some cases but it is very rare. Extravasation refers to the leakage of bone cement from where it is supposed to stay. The risk of severe bleeding, nerve injury, spinal fluid leak, paralysis, and pulmonary embolus is less than two percent. Kyphoplasty is a safe procedure but call your doctor right away if you experience severe muscle pain, continues leg pain, back or rib pain that is really bad or gets worse over time, fever, numbness or tingling sensation, and weakness.

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Frequently Asked Questions

What is the health care infrastructure of Czechia / Why should opt for Czechia as a destination for your medical treatment?
Czechia is recognized for its strict rules and regulations which has kept the country in strict discipline. As an upside, the country has well-maintained regulations for every process and impressive medical healthcare facilities which has garnered thousands of visitors from across the world. The reasons for opting hospitals in Czechia is the astounding treatment options available at a very cost effective price range, which is undoubtedly affordable than most of the developed countries across the world. Besides the well-planned infrastructure, the treatment options and alternatives offered are tempting enough. Apart from that, the country also flaunts high success rates and has thus been able to cure some of the most complex diseases in the world.
What are the conditions of the hospitals in Czechia? Are they JCI certified. What is the quality of the support staff in the hospitals?
Contrary to a few decades back, the hospitals in Czechia have upgraded manifolds. The conditions of the multispecialty clinics have been modified to include the modern amenities and devices at large. This makes it ideally competent to the healthcare infrastructure in other developed countries making it capable of providing uncompromised treatment options to the medical tourists. A few of the hospitals and multispecialty clinics have earned due JCI certification and are thus, counted among the most trusted hospitals in the country. One of the most important aspects of availing healthcare benefits from any hospital is the quality of the support staff. Besides owning proficient doctors and surgeons, the efficiency of the support staff plays a major role on the health of the candidate. Keeping in mind the necessity, the staffs are well-trained to deal with every kind of situation thereby ensuring complete safety to the patients.
Are the doctors/surgeons in Czechia of the best quality?
One of the many reasons for the success of medical and health department of Czechia, is the supreme quality of the medical professionals. The doctors and surgeons providing treatments in Czechia are globally recognized for their service towards the medical field. Furnished with degrees from reputed universities and decades of training and experience, the doctors have earned high success rates throughout their professional career.
What is the process for obtaining medical visa in Czechia?
The Korean embassy follows a strict protocol for obtaining visa for travelling to the country. The necessary documents (photocopies and original) have been listed on their official website and should be strictly adhered to. However, one must definitely keep the documents at hand while applying for the same:
  • Two recent passport size photographs of the candidate not older than six months
  • Visa application fee which needs to be paid
  • Photocopy of the visa application fee paid
  • Confirmation of the duly filled visa application form
  • Civil status of the candidate
  • Copy of the entire travel itinerary
  • Proof of round ticket of flight as well as the accommodation reserved for staying
  • Other documents like birth certificate, residential proof, etc., which may also be required.
What support services does MediGence provide in Czechia?
Keeping in mind every travelling protocol listed by the government, MediGence ensures a hassle-free medical travelling experience in Czechia. Right from the beginning of the journey to the end, MediGence assists the candidates and the family with utmost care thereby making the stay as comfortable as it can be. Hence, here is a list of services provided for candidate satisfaction:
  • Medical travel and insurance query related support
  • Medical travel guidance
  • Visa Assistance
  • Free airport to hospital transfer
  • On-Ground Support
  • Teleconsultations
  • Visa Assistance
  • Accommodations Assistance
  • Free Airport to Hospital Transfer
  • Rehabilitation and recovery services
Which are the best cities in Czechia for medical treatment?
There are several cities which provide impressive medical benefits and are open for both national and international tourists. However, the best cities in Czechia for medical treatment are:
  • Seoul
  • Busan
  • Daegu
  • Incheon

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