Kyphoplasty — Post-Op Kyphoplasty / Vertebroplasty

Advanced Orthopedics and Sports Medicine (Houston Spine Surgeon) · Dr. Jeffrey H. Oppenheimer MD

Weight-Bearing

WBAT from POD 1; walking to 1/2 mile daily (15-30 min cardiovascular activity)

Key Restrictions

Avoid lifting/twisting/bending spine Phase I; avoid lumbar loading, twisting, bending Phase II; exercises to avoid with osteoporosis: dynamic abdominal exercises, twisting movements, trunk flexion, abrupt/explosive loading, high-impact loading

Timeline & Phases

3 phases: Phase I IPSP (0-2 wks, home HEP), Phase II OP PT (2-4 wks, 2-3x/wk), Phase III Advanced (4-8 wks)

Notes

Faster progression than fusion (Phase II at 2 wks); Phase II: multifidus/TA co-contraction, balance training; Phase III: activity-specific training based on degree of bone loss/age/functional status; avoid prone extensions; References: Mayo Clin Proc 2008 (Huntoon), MDGuidelines.com, ANZBMS osteoporosis position statement

Surgeon / Author

Dr. Jeffrey H. Oppenheimer MD