During kyphoplasty, a balloon is first inserted into the fractured bone through the hollow needle to create a cavity or space. Vertebrae may also become weakened by cancer.įor a vertebroplasty, physicians use image guidance, typically fluoroscopy, to inject a cement mixture into the fractured bone through a hollow needle. Osteoporosis is a disease that results in a loss of normal bone density, mass and strength, leading to a condition in which bones become increasingly porous, and vulnerable to breaking easily. These compression fractures may involve the collapse of one or more vertebrae in the spine and are a common result of osteoporosis. When a vertebral body fractures, the usual rectangular shape of the bone becomes compressed, causing pain. Vertebroplasty and kyphoplasty are minimally invasive procedures for the treatment of painful vertebral compression fractures (VCF), which are fractures involving the vertebral bodies that make up the spinal column. If you are not to be admitted to the hospital, plan to have someone drive you home afterward. Leave jewelry at home and wear loose, comfortable clothing. Take regular medication with sips of water. Your doctor may advise you to stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) or blood thinners several days prior to your procedure and instruct you not to eat or drink anything several hours beforehand. Tell your doctor if there's a possibility you are pregnant and discuss any recent illnesses, medical conditions, allergies and medications you're taking. Your doctor will likely first evaluate your condition using diagnostic imaging or a physical exam and will instruct you on how to prepare. Following vertebroplasty, about 75 percent of patients regain lost mobility and become more active. Your doctor may use imaging guidance to inject a cement mixture into the fractured bone (vertebroplasty) or insert a balloon into the fractured bone to create a space and then fill it with cement (kyphoplasty). Learning the best way to sleep with a compression fracture is key for your healing.Vertebroplasty and kyphoplasty are procedures used to treat painful vertebral compression fractures in the spinal column, which are a common result of osteoporosis. This is key to side sleeping with a compression fracture because if your hips and pelvis are supported, they won't be pulling on your spine. This ensures that your hip muscles are not pulling on your back and that your pelvis is not rotating. A leg separator pillow should also keep your top leg as close to parallel to the bed as possible. This means the pillow should run from your pubic bone to your foot. When you lie on your side without back support, joint compression can happen as your spine curves down towards your bed.Īdditionally, you should use a leg separator pillow that completely supports your entire top leg. If you are trying to side sleep with a compression fracture, this is important because when healing, you don’t want any of the joints in your spine to be compressed. Placing a side sleeper wedge in the curve of your waist will prevent your spine from curving downwards when you lie down on your mattress. First, use a side sleeper wedge to support your lower spine while you sleep. If you just can’t sleep on your back, you can sleep on your side, if you have the right support. The ability to sleep with your back muscles relaxed, with plenty of space in between the joints of your lower back, is a huge relief to anyone with a compression fracture! What if I can’t sleep on my back with my compression fracture? This restores the space between your joints, allowing your compression fracture to heal overnight rather than be compressed and irritated.įor anyone trying to sleep with a compression fracture, this is great news. Sleeping with your legs supported on a leg wedge takes away the arch in your lower back and allows your back to lie flat. To avoid waking up with back stiffness and pain, especially if you have a compression fracture, sleep on your back with your legs elevated on a knee wedge pillow. ![]() This arch decreases the space between the joints in your back and causes your back muscles to tighten overnight. This means when we lie down flat on our backs with our legs straight, our lower back is arched. ![]() When our pelvis tilts forward, it causes our lower back to arch. ![]() Almost all of us have tight hip flexors that pull our pelvis into an anterior tilt. If you have a compression fracture and are trying to sleep, don’t sleep flat on your back. Sleep on your back, but not flat on your back This is a position without muscle or joint strain and with plenty of space between the joints in your spine. The best way to sleep with a compression fracture is to lie with your spine in a neutral position.
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