What Are Kyphoplasty and Vertebroplasty?

Both procedures inject bone cement into the fractured vertebra to stabilize it. Vertebroplasty injects cement directly into the fracture under imaging guidance. Kyphoplasty first inflates a small balloon within the collapsed vertebra to restore height before the cement is injected, creating a cavity that reduces the risk of cement leakage and allows better height restoration than vertebroplasty alone. Both procedures are performed through small puncture incisions using fluoroscopic or CT guidance, typically under sedation or light general anesthesia, and most patients are discharged the same day or the following morning.

The difference in choosing between the two procedures depends on the fracture pattern, the degree of vertebral collapse, and the time elapsed since the fracture occurred. Acute fractures with significant height loss are more often treated with kyphoplasty to maximize height restoration. Older or partially healed fractures may be better suited to vertebroplasty. Your POA Linwood surgeon will review the imaging and timing to recommend the appropriate procedure.

Who Is a Candidate?

  • Older adult with new or recent vertebral compression fracture producing significant back pain
  • Fracture confirmed on MRI or CT showing acute bone edema or collapse
  • Inadequate pain relief or functional limitation despite bracing and analgesics
  • Fracture not involving significant spinal canal compromise or neurological deficit
  • Patients with osteoporosis-related fractures who are not candidates for extended bed rest due to medical comorbidities

Vertebral Fractures and the Atlantic County Older Adult Population

Atlantic County and the surrounding shore region have a significant population of older adults who relocated from the barrier islands and shore communities to mainland towns including Linwood, Northfield, and Egg Harbor Township. Many of these patients have underlying osteoporosis that has not been actively managed, and their first presentation to a spine surgeon comes after a fracture event. The POA Linwood team works with these patients to address the acute fracture and to connect them with appropriate osteoporosis management to reduce the risk of future vertebral fractures, which commonly occur at adjacent levels within two years of the initial event.

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What to Expect at POA Linwood

  • Evaluation: MRI or CT to confirm acute fracture and assess spinal canal integrity
  • Planning: procedure selection based on fracture pattern, timing, and patient health status
  • Procedure: performed at AtlantiCare Regional Medical Center under fluoroscopic guidance; typically 45 to 90 minutes
  • Recovery: most patients report significant pain reduction within 24 to 48 hours; discharge same day or next morning
  • Follow-up: osteoporosis evaluation recommended as part of post-procedure care; POA Linwood coordinates referral as needed

Your Surgical Team at POA Linwood

Rahul V. Shah

Dr. Rahul V. Shah, MD, FAAOS

Board-Certified Orthopaedic Spine Surgeon  |  Fellowship-Trained, UCSF  |  Chief Resident, Yale

Dr. Shah evaluates vertebral compression fracture cases at POA Linwood with the same disciplined imaging-to-clinical-correlation approach he applies to all spine conditions. His academic background in spine surgery and his minimally invasive training ensure that kyphoplasty and vertebroplasty are recommended when the evidence and the patient's clinical picture together support the intervention, not reflexively for every fracture on imaging.

  • FAAOS — Fellow, American Academy of Orthopaedic Surgeons
  • Spine Surgery Fellowship — University of California, San Francisco
  • Chief Resident — Yale University Orthopaedic Surgery
  • Faculty — Rowan University Medical School

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Joseph R. Zerbo male in white lab coat

Dr. Joseph R. Zerbo, DO

Board-Certified Orthopaedic Spine Surgeon  |  NASS Member  |  35+ Years in Southern NJ

Dr. Zerbo's osteopathic whole-person perspective is particularly relevant for the older Atlantic County patient presenting with a vertebral compression fracture. He evaluates not only the fracture but the underlying osteoporosis status, fall risk factors, and overall medical picture that contributed to the fracture event. His Atlantic County surgical privileges and his relationships with AtlantiCare Regional Medical Center ensure that these patients receive their procedural care locally and with appropriate post-procedure follow-up nearby.

  • AOBOS Board-Certified — American Osteopathic Board of Orthopaedic Surgeons
  • NASS Member — North American Spine Society (since 1999)
  • Surgical Privileges - AtlantiCare Regional Medical Center, Shore Medical Center, Jersey Shore Ambulatory Center
  • Chief Resident — Kennedy Memorial Hospital / UMDNJ
  • Founder — Zerbo Spine, PA

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Kyphoplasty & Vertebroplasty FAQs

How quickly does pain improve after kyphoplasty?

Will kyphoplasty prevent future fractures?

Is kyphoplasty covered by Medicare and major insurance?

How quickly does pain improve after kyphoplasty?

Most patients report significant pain reduction within 24 to 72 hours of the procedure. The cement stabilizes the fracture immediately, which eliminates the micromotion at the fracture site that produces the most severe acute pain. Full recovery and return to normal activity typically occurs within two to four weeks.

Will kyphoplasty prevent future fractures?

Kyphoplasty stabilizes the treated vertebra but does not treat the underlying osteoporosis that caused the fracture. Patients who have had one vertebral compression fracture are at significantly elevated risk of additional fractures at adjacent levels. Post-procedure osteoporosis management with appropriate medication is strongly recommended and is something the POA Linwood team coordinates with the patient's primary care or endocrinology provider.

Is kyphoplasty covered by Medicare and major insurance?

Yes, kyphoplasty and vertebroplasty for acute vertebral compression fractures are covered by Medicare and most major commercial insurance plans when the procedure is medically indicated and documented appropriately. POA Linwood's team will verify coverage and assist with pre-authorization as part of the surgical planning process.

Premier Orthopaedic Associates Linwood

Contact

(856) 690-1616

Hours of Operation

MON — FRI: 8:30AM - 5PM

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