What Is Kyphoplasty?
A vertebral compression fracture is a crack or collapse in one of the spine's bony building blocks, most often caused by osteoporosis thinning the bone until it gives way, though trauma and cancer-weakened vertebrae can fracture too. Kyphoplasty addresses both the pain and the structural damage: a small balloon is inflated inside the collapsed vertebra to lift it back toward its original height, then the space is filled with bone cement to lock the correction in place.
The standard technique, balloon kyphoplasty, is done under fluoroscopic guidance. The balloon creates the cavity, restores some height, and is then removed before cement is injected. The entire procedure is performed through a needle puncture, not an open incision.
Kyphoplasty vs. Vertebroplasty
Two procedures that sound interchangeable but aren't:
- Vertebroplasty injects cement straight into the fracture with no balloon, no height restoration. Its primary goal is pain relief and stabilisation.
- Kyphoplasty adds a step: the balloon creates a controlled cavity first, attempts to restore lost vertebral height, then cement fills that space.
You'll read online that kyphoplasty has "fewer complications." That's partly true: it does have a lower rate of cement leakage specifically, because the cement goes into a pre-formed cavity at lower pressure. But the overall complication rates between the two are actually comparable. The right choice depends on your fracture's shape, location, and severity, not on which one sounds safer in a headline.
Causes of Vertebral Compression Fractures
- Osteoporosis: By far the most common trigger, especially in adults over 60. Bone density drops until everyday loading is enough to crack a vertebra.
- Trauma: A fall, a car accident, or any sudden force applied to a spine that may or may not already be weakened.
- Cancer: Tumours that invade or metastasise to a vertebra can weaken it enough to fracture under normal body weight.
The cause isn't just academic. Published reviews show fractures from cancer carry roughly double the complication rate of osteoporotic fractures, which is exactly why identifying the underlying reason is a clinical priority, not a formality.
Symptoms and Diagnosis
Signs include sudden, severe back pain, often worse when standing, sitting, or with movement; noticeable height loss; a stooped or hunched posture; and reduced mobility. Fractures are confirmed through X-ray, CT, or MRI, imaging that also identifies the fracture's shape and severity, both of which affect how well kyphoplasty is likely to work.
Fracture level and shape matter. Wedge-shaped fractures (compressed at the front of the vertebral body) tend to respond best to kyphoplasty. Other shapes, such as biconcave fractures or crush fractures, don't always respond as predictably.
Vertebral Compression Fracture Treatment in Elderly Patients
Treatment in elderly patients requires extra care, since osteoporosis, multiple existing fractures, and other health conditions are more common in this group. Kyphoplasty is generally considered safe for older adults, but a full evaluation of bone density, overall health, and fracture pattern is essential before proceeding, alongside a plan to manage the underlying osteoporosis, since kyphoplasty treats the fracture, not the bone-weakening condition that caused it.
Who Is a Candidate for Kyphoplasty?
May be appropriate if you have:
- Imaging confirms a vertebral compression fracture
- Pain is persistent and significant despite medication, bracing, or physical therapy
- The fracture is recent, ideally under 8 weeks old. Beyond 12 weeks, the bone starts healing on its own and height restoration becomes difficult
Generally ruled out for:
- Active spinal infection
- Osteoporosis so severe that the surrounding bone can't support the procedure
- Uncontrolled medical conditions that increase procedural risk
- Spinal tumours where a different intervention is more appropriate
- Significant neurological compromise requiring a different surgical approach
- Pregnancy (fluoroscopy involves radiation)
Best Doctors perform to Kyphoplasty Surgery in Mumbai

Preparation: Before the Procedure
- Confirming the fracture and its cause through imaging
- Review of medical history, medications, and bone health
- Pausing certain blood thinners, if appropriate, only on medical advice
- Arranging for someone to drive you home afterward, since sedation is typically used
The Kyphoplasty Procedure, Step by Step
- Positioning: Face-down on the procedure table; treatment area cleaned and prepped.
- Anaesthesia: Local anaesthetic with sedation in most cases; general anaesthesia occasionally, depending on the patient.
- Guided access: Under live fluoroscopy, a needle is positioned precisely into the fractured vertebra.
- Balloon inflation: A small balloon is threaded through the needle, inflated to create a cavity, and used to push the collapsed bone back toward its original height.
- Cement injection: The balloon is removed and bone cement fills the cavity, hardening in 10–20 minutes.
- Completion: Needle withdrawn, entry point covered with a bandage. Total procedure time is roughly an hour.
Kyphoplasty is considered minimally invasive, not major open surgery, no large incision, no muscle cutting, and most patients go home the same day or after a short overnight observation.
Recovery Time After Kyphoplasty Surgery
| Time | What to Expect |
|---|---|
| First 24 hours | Mild soreness at the injection site; rest advised |
| First week | Light activity, such as walking, encouraged; avoid heavy lifting or bending |
| 1-2 weeks | Most patients return to normal daily routines |
| 4-6 weeks | Continued improvement in pain and mobility; avoid high-impact activity until cleared |
Kyphoplasty Surgery Side Effects and Risks
Kyphoplasty has a genuinely favourable safety profile, but it isn't risk-free. A widely cited review in the Journal of Multidisciplinary Healthcare estimates the overall complication rate at under 4% for osteoporosis-related fractures, rising to roughly 10% when the fracture is caused by cancer, exactly why identifying the cause matters.
- Mild pain or bruising at the injection site
- Infection, uncommon, typically treatable with antibiotics
- Cement leakage beyond the vertebra, usually without symptoms, though rarely it can press on a nearby nerve
- Allergic reaction to bone cement or contrast material
- Rare, serious complications: nerve or spinal cord injury, or cement entering a blood vessel and travelling to the lungs
It isn't yet clear whether treating one vertebra increases the risk of a new fracture at an adjacent level, though people with osteoporosis are already at higher risk of further fractures generally.
Kyphoplasty Surgery Cost in Mumbai
Cost typically ranges from roughly ₹80,000 to ₹1,50,000 or more, depending on the hospital, number of vertebrae treated, and case complexity. This is a general market indication, not a specific quote, since actual cost depends on your individual diagnosis and treatment plan.
Kyphoplasty at Nivaan: Our Role
Our interventional pain specialists focus on accurate diagnosis, confirming your fracture, its cause, timing, and shape, and coordinating the right next step, whether conservative pain management, an image-guided procedure, or referral for kyphoplasty or vertebroplasty performed by the appropriate specialist. You'll always be told clearly who is performing your procedure and what their specific experience is.
Why Start With Nivaan Care?
Because the fracture is only half the picture. An interventional pain specialist confirms the diagnosis, cause, and timing. A physiotherapist works on mobility and strength, before and after any procedure. A nutrition expert addresses bone health directly, because kyphoplasty stabilises the fracture but does nothing about the osteoporosis that made it happen

