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Kyphoplasty is a minimally invasive procedure used to treat spinal compression fractures. These fractures commonly occur in patients with osteoporosis and can lead to severe pain and deformity. During kyphoplasty, a small incision is made in the back and a balloon is inserted into the fractured vertebra. The balloon is then inflated to create a cavity, which is filled with bone cement to stabilize the vertebra and relieve pain.
Retropulsion, on the other hand, refers to the displacement of bone fragments into the spinal canal, often caused by fractures or trauma. This displacement can lead to nerve compression and severe neurological symptoms. When performing kyphoplasty on a patient with retropulsion, extra caution is required to avoid further pushing the fragments into the spinal canal. Special techniques and tools may be used to carefully navigate around the displaced fragments and ensure that the bone cement is placed correctly.
In conclusion, kyphoplasty can be a beneficial treatment for spinal compression fractures, even in cases where retropulsion is present. With proper technique and expertise, kyphoplasty can help relieve pain, stabilize the vertebra, and restore mobility for patients with this type of fracture.
Is vertebral augmentation the same as kyphoplasty?
Vertebroplasty and kyphoplasty are relatively new techniques for the treatment of pain caused by vertebral body compression fractures. Kyphoplasty differs from vertebroplasty in that a balloon is first inflated in the vertebral body to create a cavity into which cement is then injected under lower pressure.
What is the difference between vertebral augmentation and kyphoplasty?
For a vertebroplasty, physicians use image guidance, typically fluoroscopy, to inject a cement mixture into the fractured bone through a hollow needle. During kyphoplasty, a balloon is first inserted into the fractured bone through the hollow needle to create a cavity or space.
What is CPT code 22513 for kyphoplasty?
Percutaneous vertebral augmentation including cavity creation using mechanical device of one vertebral body must be reported with CPT codes 22513 (thoracic), 22514 (lumbar) and 22515 (each additional thoracic or lumbar vertebral body [list separately in addition to code for the primary procedure]).Feb 2, 2021
Can you bill 22513 and 22514 together?
Code 22513 describes the initial vertebral body treated in the thoracic area. Code 22514 describes the initial vertebral body treated in the lumbar area. Select only one initial level (either 22513 or 22514). For each additional vertebral body treated, report one unit of add-on code 22515.Mar 1, 2015
