Chung Sang Ki, Lee Sang Ho, Kim Dong-Yun, Lee Ho Yeon
Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
J Spinal Disord Tech. 2002 Dec;15(6):461-8. doi: 10.1097/00024720-200212000-00005.
The authors used vertebroplasty for the treatment of severe lower lumbar radicular pain caused by osteoporotic compression fracture. Patients presented with severe radiating leg pain rather than lower back pain from recent osteoporotic compression fracture of lower lumbar vertebra. Radiologic findings showed osteoporotic compression fracture combined with preexisting stenosis of the intervertebral foramen resulting in root compression. After injection of polymethylmethacrylate into the compressed vertebral body through the pedicle of the symptomatic side, all seven patients experienced dramatic pain relief that lasted throughout the mean follow-up duration of 9.1 months. They conclude that vertebroplasty may be an effective way of relieving radicular pain caused by osteoporotic compression fracture combined with foraminal stenosis.
作者采用椎体成形术治疗骨质疏松性压缩骨折所致的严重下腰部神经根性疼痛。患者表现为严重的腿部放射性疼痛，而非下腰椎近期骨质疏松性压缩骨折所致的下背部疼痛。影像学检查结果显示，骨质疏松性压缩骨折合并存在椎间孔狭窄，导致神经根受压。通过症状侧椎弓根向压缩椎体注入聚甲基丙烯酸甲酯后，所有7例患者均经历了显著的疼痛缓解，且在平均9.1个月的随访期内疼痛持续缓解。他们得出结论，椎体成形术可能是缓解骨质疏松性压缩骨折合并椎间孔狭窄所致神经根性疼痛的有效方法。
