Spire Healthcare Group Plc · LSE:SPI
Spire Healthcare — Investor Presentation (May 2012)
19 slides from Spire Healthcare's investor presentation, May 2012
Slide 1: Balloon Kyphoplasty: The procedure
B E OKAFOR FRCS FRCS.ORTH ORTHOPAEDIC CONSULTANT SURGEON Balloon Kyphoplasty The procedure 1
Slide 2: Balloon Kyphoplasty procedure
Balloon Kyphoplasty procedure Balloon Kyphoplasty exists since 1998 and since then 275.000 fractures have been treated in 230.000 patients 4 simple steps explain how Balloon Kyphoplasty is performed Can be done under general or local anesthetic 2
Slide 3: Step 1: Insertion of two balloons
Step 1 Insertion of two balloons into the fractured vertebral body. 3
Slide 4: Step 2: Inflation of the balloons
Step 2 Inflation of the balloons to create a cavity and perform fracture reduction. Afterwards the balloons are removed. 4
Slide 5: Step 3: Filling the cavity with bone cement
Step 3 Filling the cavity, created by the balloons, with bone cement to obtain fracture fixation. 5
Slide 6: Step 4: Fracture stabilised
Step 4 The fracture is stabilised which facilitates patient mobility and gives fast pain relief. 6
Slide 7: Balloon Kyphoplasty Procedure
Balloon Kyphoplasty Procedure 7
Slide 8: Assuring the safety of the procedure
Assuring the safety of the procedure By using 2 balloons, trabecular bone is compacted when the balloons are inflated. This creates a “wall” to prevent the cement from spreading too much. When the fracture is stabilised this is done with a very high viscosity – toothpaste like – cement. The cement i
Slide 9: Leakage rate vs other technique
Leakage rate vs other technique Balloon Kyphoplasty makes it possible to limit the risks for serious adverse events. Rod S Taylor, Rebecca J Taylor, Peter Fritzell, Balloon Kyphoplasty in the Management of Vertebral Compression Fractures: An Updated Systematic Review and Meta-analysis, report August
Slide 10: How serious can leakages be
How serious can leakages be Results of a large systematic review. More than 3650 treated levels were studied and analysed. Rod S Taylor, Rebecca J Taylor, Peter Fritzell, Balloon Kyphoplasty in the Management of Vertebral Compression Fractures: An Updated Systematic Review and Meta-analysis, report
Slide 11: NICE: IPG 166
NICE: IPG 166 NICE has issued a Interventional Procedure Guidance for Balloon Kyphoplasty in April 2006. 11
Slide 12: Fast and sustained pain relief
Fast and sustained pain relief Complete pain relief is reported by 68% of the patients after one week and by 86% by 3-6 months post-operatively. This result is maintained for 2 years (90%). Ledlie J.T.; Kyphoplasty Treatment of Vertebral Fractures: 2-Year Outcomes show Sustained Benefits 12
Slide 13: Less usage of narcotic pain medication
Less usage of narcotic pain medication The proportion of patients requiring narcotic medication significantly decreased after Balloon Kyphoplasty treatment (p<0.001). Ledlie J.T.; Kyphoplasty Treatment of Vertebral Fractures: 2-Year Outcomes show Sustained Benefits 13
Slide 14: Improving Quality Of Life
Improving Quality Of Life Balloon Kyphoplasty shows statistically significant improvement in 7 of 8 domains of the SF-36 scores when comparing pre-and post-op results. These results are maintained over an 18 month follow-up period. Coumans et al; Kyphoplasty for Vertebral Compression Fractures: 1-ye
Slide 15: Less back pain related health care visits
Less back pain related health care visits Significant reduction in the number of back pain related health care visits when comparing the Balloon Kyphoplasty group with the control group. Kapserk C. et al; Treatment of Painful vertebral fractures by Kyphoplasty in patients with primary osteoporosis:
Slide 16: Correction of the Spinal Deformity
Correction of the Spinal Deformity Balloon Kyphoplasty is able to significantly (p<0.001) correct vertebral wedge fractures to more than 80% of its original height. Ledlie J.T.; Kyphoplasty Treatment of Vertebral Fractures: 2-Year Outcomes show Sustained Benefits 16
Slide 17: Reduced risk for subsequent fractures
Reduced risk for subsequent fractures A significant reduction in the percentage of patients who have a new fracture during the 1-year follow-up was reported in the Balloon Kyphoplasty group when compared to the control group. Kapserk C. et al; Treatment of Painful vertebral fractures by Kyphoplasty
Slide 18: Indications
Indications Balloon Kyphoplasty is designed for patients with Vertebral Compression Fractures caused by: • Primary Osteoporosis • Secondary Osteoporosis • Multiple Myeloma • Bone Metastasis 18
Slide 19: Benefits for you and your patients
Benefits for you and your patients Patient satisfaction • Experiencing fast and sustained pain relief • Performing activities of daily living again • Participating again in normal social life Correction of spinal deformity • Improving the biomechanics of the spine might be reducing the risk for new
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