Best Hospitals for Kyphoplasty Surgery in Delhi NCR, India

Vertebral compression fractures (VCFs) occur when one or more vertebral bodies collapse under axial load, most commonly in the thoracic (T6–T12) and thoracolumbar junction (T12–L2) regions. In osteoporotic patients, this collapse can occur spontaneously or after minor trauma; in oncology patients, lytic metastases from breast, lung, prostate, or multiple myeloma destroy trabecular architecture and precipitate pathological fracture. The resulting loss of anterior vertebral height creates a wedge deformity that progressively shifts the spine's center of gravity anteriorly, generating a compensatory hyperkyphosis. Clinically, patients experience severe axial back pain aggravated by positional changes, reduced mobility, progressive height loss, restrictive pulmonary mechanics from thoracic cage distortion, and — in severe cases — neurological compromise from bony retropulsion into the spinal canal.

• ELIGIBLE PATIENTS:
• Acute or subacute painful osteoporotic VCFs (typically within 6 weeks to 6 months of fracture onset, confirmed by MRI bone edema on STIR sequences)
• Pathological VCFs secondary to spinal metastases or multiple myeloma with preserved posterior vertebral wall integrity
• Painful VCFs causing significant functional disability (VAS pain score ≥ 5/10) refractory to minimum 4–6 weeks of structured conservative therapy
• Patients with Genant Grade 1–3 vertebral height loss (20–40%, 40–66%, >66%) confirmed on lateral spine radiograph and MRI
• +22 more

STANDARD BILATERAL PERCUTANEOUS KYPHOPLASTY (PKP — Gold Standard):

Performed under general anesthesia or conscious sedation (MAC) with the patient prone on a Jackson radiolucent table. Under biplane fluoroscopic guidance, bilateral transpedicular access needles (11–13 gauge) are introduced into the fractured vertebral body — one through each pedicle — using a fluoroscopically verified extrapedicular or transpedicular trajectory depending on the thoracic vs. lumbar level. Working cannulas are advanced and a bone tamp channel is drilled. Inflatable bone tamps (IBTs) — radiopaque balloon devices rated to 400 psi — are inserted bilaterally and inflated incrementally under manometer control, elevating collapsed endplates and creating a contained, walled-off cavity. IBTs are then deflated and removed. Low-viscosity or high-viscosity PMMA cement (e.g., Confidence Spinal System, KyphX HV-R) is prepared and injected under continuous fluoroscopic visualization in a doughy phase to minimize extravasation risk. Cement fill volume typically ranges 3–8 mL per level. Bilateral approach provides more symmetric height restoration and superior biomechanical load distribution compared to unilateral access.

UNILATERAL KYPHOPLASTY (Minimally Invasive Variant):

Used for select lumbar levels where a parapedicular or unilateral extrapedicular approach grants sufficient access to the entire vertebral body. Reduces operative time by approximately 30%, lowers radiation exposure, and decreases pedicle violation risk. Outcome data from the VERTOS IV and STIC-2 studies support non-inferiority in pain relief vs. bilateral approach for single-level thoracolumbar fractures.

PRE-OPERATIVE PHASE (Days −7 to −1):

• Day −7 to −5: Remote consultation with GAF Healthcare-affiliated spine surgeon via teleconsultation. Patient uploads MRI, CT, DXA, and blood reports to the GAF Healthcare secure portal for pre-screening. Surgeon confirms candidacy, plans approach (bilateral/unilateral, fluoroscopy/O-arm, cement type), and provides a personalized cost estimate.
• Day −3: Patient arrives in India or UAE. GAF Healthcare representative meets at airport and transfers to partner hotel or hospital guest house.
• Day −2 to −1: In-person specialist consultation. Repeat or confirmatory imaging performed locally if required. Pre-anesthesia assessment (ECG, echo if >60 years or cardiac history, pulmonary function test if indicated). Coagulation profile verified; anticoagulants (warfarin, clopidogrel, rivaroxaban) managed per bridge protocol — typically held 5–7 days pre-operatively. NPO (nothing by mouth) from midnight before procedure. Skin preparation and surgical site marking.

PROCEDURE DAY (Day 0):