- Joined
- Oct 23, 2005
- Messages
- 8,173
- Reaction score
- 5,914
Could a few of you please share your Kyphoplasty op note templates ?
Kypho op notes
- Thread starter bedrock
- Start date
- Joined
- May 30, 2005
- Messages
- 23,249
- Reaction score
- 14,823
Date and Time of Operation
Surgical Procedure - Start Time: 08/29/25 10:15:00
Preoperative Diagnosis
Osteoporotic compression Fx L5
Postoperative Diagnosis
Osteoporotic compression Fx L5
Operation
Kyphoplasty with Osteopearl (3.0cc)
Surgeon(s)
Steven M. Lobel, MD
Assistant
None
Anesthesia
General
Estimated Blood Loss
None
Specimen
None
Complication(s)
None, though it was noted that the initial balloon went inflated ruptured with a small pinhole and would not hold pressure. A replacement balloon was used for the remainder of the procedure. Additionally because of the desire not to exceed 400 PSI and ruptured the second balloon prior to insertion of the osteoporotic beads the needle was withdrawn towards posterior vertebral body and then advanced in a superior tract. This way beads could fill the mid to upper portion of the vertebral body entirely.
Procedure Description
METHOD OF SURGERY: Informed consent discussed in the preoperative holding area with all risks, benefits, and alternatives to care explained. IV antibiotics were given at the appropriate time period before the start of the procedure.
The patient was brought back to the operating room and placed prone on a Jackson table. Sterile prep and drape then carried out. Local anesthesia was 1% lidocaine with epinephrine. This was delivered over the pedicle shadow at the fractured level(s). A spinal needle was inserted to anesthetize the soft tissues down to the pedicle. Then, an 11 blade was used to make a stab incision and the kyphoplasty needle was inserted through the skin and pedicle/peripedicular space to enter the vertebral body and advance to the anterior right sided segment. Needle was withdrawn toward posterior cortex and a balloon was inserted and inflated to not more than 400psi or 2cc then deflated and removed intact. Following this, Osteopearl was inserted using bone tamp to fill the fracture void. The needle and tamp were removed as a unit. A band-aid was placed on the skin. The patient was seen in PACU in stable condition. Follow up in the office in a week.
Based on preoperative review of MRI and intraoperative review of fluoroscopic imaging it was decided that the L4 vertebral body did not need interventional care to include kyphoplasty and this was not performed nor attempted.
Discharge Disposition
Discharge per criteria to (home, extended care facility, other):
Follow-Up Appointments
No qualifying data available
Discharge Instructions
Discharge Orders
No qualifying data available.
Surgical Procedure - Start Time: 08/29/25 10:15:00
Preoperative Diagnosis
Osteoporotic compression Fx L5
Postoperative Diagnosis
Osteoporotic compression Fx L5
Operation
Kyphoplasty with Osteopearl (3.0cc)
Surgeon(s)
Steven M. Lobel, MD
Assistant
None
Anesthesia
General
Estimated Blood Loss
None
Specimen
None
Complication(s)
None, though it was noted that the initial balloon went inflated ruptured with a small pinhole and would not hold pressure. A replacement balloon was used for the remainder of the procedure. Additionally because of the desire not to exceed 400 PSI and ruptured the second balloon prior to insertion of the osteoporotic beads the needle was withdrawn towards posterior vertebral body and then advanced in a superior tract. This way beads could fill the mid to upper portion of the vertebral body entirely.
Procedure Description
METHOD OF SURGERY: Informed consent discussed in the preoperative holding area with all risks, benefits, and alternatives to care explained. IV antibiotics were given at the appropriate time period before the start of the procedure.
The patient was brought back to the operating room and placed prone on a Jackson table. Sterile prep and drape then carried out. Local anesthesia was 1% lidocaine with epinephrine. This was delivered over the pedicle shadow at the fractured level(s). A spinal needle was inserted to anesthetize the soft tissues down to the pedicle. Then, an 11 blade was used to make a stab incision and the kyphoplasty needle was inserted through the skin and pedicle/peripedicular space to enter the vertebral body and advance to the anterior right sided segment. Needle was withdrawn toward posterior cortex and a balloon was inserted and inflated to not more than 400psi or 2cc then deflated and removed intact. Following this, Osteopearl was inserted using bone tamp to fill the fracture void. The needle and tamp were removed as a unit. A band-aid was placed on the skin. The patient was seen in PACU in stable condition. Follow up in the office in a week.
Based on preoperative review of MRI and intraoperative review of fluoroscopic imaging it was decided that the L4 vertebral body did not need interventional care to include kyphoplasty and this was not performed nor attempted.
Discharge Disposition
Discharge per criteria to (home, extended care facility, other):
Follow-Up Appointments
No qualifying data available
Discharge Instructions
Discharge Orders
No qualifying data available.
