Percutaneous vertebroplasty: Technique and results in 192 procedures
Percutaneous vertebroplasty: Technique and results in 192 procedures
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DOI：
10.1179/016164104773026516
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发表时间：
2004-01-01
影响因子：
1.9
通讯作者：
Gomori, JM
中科院分区：
文献类型：
--
作者：
Cohen, JE;Lylyk, P;Gomori, JM
丙烯酸骨水泥（通常是聚甲基丙烯酸甲酯）经皮椎体成形术包括将骨水泥注入因骨质病变而变弱的椎体。该手术的目的是通过机械稳定脊柱破坏性病变来获得镇痛效果。三种主要适应症是侵袭性椎体血管瘤、与骨质疏松性椎体骨折相关的严重或难治性疼痛和恶性椎体肿瘤。并发症不常见，但主要发生在椎体恶性肿瘤患者中。我们介绍了148例患者的经验，这些患者接受了192例经皮PMMA椎体成形术，用于治疗疼痛性椎体压缩性骨折（76例患者，105个椎体节段）、血管瘤（31例患者，43个椎体节段）和肿瘤（31例患者，43个椎体节段）。在绝大多数适当选择的病例中，尤其是在椎体成形术病例中，椎体成形术是一种相对简单的手术，成功率非常高。
Percutaneous vertebroplasty with acrylic cement (usually polymethylmethacrylate) consists of injecting cement into vertebral bodies weakened by osseous lesions. The objective of this procedure is to obtain an analgesic effect by mechanical stabilization in destructive lesions of the spine. The three major indications are aggressive vertebral hemangiomas, severe or refractory pain related to osteoporotic vertebral fractures, and malignant vertebral tumors. Complications are infrequent, but occur essentially in patients with vertebral malignant tumors. We present our experience with 148 patients that underwent 192 percutaneous PMMA vertebroplasties for the treatment of painful osteoporotic compression fractures (76 patients, 105 vertebral levels), hemangiomas (31 patients, 43 vertebral levels) and neoplasms (31 patients, 43 vertebral levels). In a vast majority of appropriately selected cases and especially in osteoporotic cases, vertebroplasty constitutes a relatively simple procedure with a very high rate of success.