Hoffmann R T, Jakobs T F, Wallnöfer A, Reiser M F, Helmberger T K
Institut für Klinische Radiologie, Klinikum der Universität München-Grosshadern, Munich.
Radiologe. 2003 Sep;43(9):709-17. doi: 10.1007/s00117-003-0947-y.
Percutaneous vertebroplasty (pv) is a worldwide increasingly performed interventional therapeutic procedure. This article addresses indications, patient preparation, technical requirements and approach as well as possible complications of percutaneous vertebroplasty.
Percutaneous vertebroplasty is a technique consisting in an injection of bone cement into a vertebral body under imaging guidance. This procedure is performed to relief pain and support the mechanical stability in partially collapsed vertebral bodies.
In the management of spinal compression fractures secondary to osteoporosis, myeloma, osteolytic metastases and aggressive hemangiomas, percutaneous vertebroplasty yields analgesic effect, and provides additional fortification in weakened segments of the vertebral column. Contraindications include major bleeding disorders, radicular pain and pain caused by compression of the myelon.
Percutaneous vertebroplasty results in prompt pain relief and rapid rehabilitation. In experienced hands, using correct technique, pv is a safe and effective procedure for treating pain, caused either by osteoporotic or malignant vertebral compression fractures.
经皮椎体成形术（PV）是一种在全球范围内开展得越来越多的介入治疗方法。本文探讨经皮椎体成形术的适应证、患者准备、技术要求与入路以及可能的并发症。
经皮椎体成形术是一种在影像引导下向椎体注射骨水泥的技术。该操作旨在缓解疼痛并维持部分塌陷椎体的机械稳定性。
在治疗继发于骨质疏松症、骨髓瘤、溶骨性转移瘤和侵袭性血管瘤的脊柱压缩性骨折时，经皮椎体成形术可产生镇痛效果，并为脊柱的薄弱节段提供额外加固。禁忌证包括严重出血性疾病、神经根性疼痛以及脊髓受压引起的疼痛。
经皮椎体成形术能迅速缓解疼痛并实现快速康复。在经验丰富的医生手中，采用正确的技术，经皮椎体成形术是治疗由骨质疏松性或恶性椎体压缩性骨折引起的疼痛的一种安全有效的方法。
