Kallmes David F, Jensen Mary E
Department of Radiology, University of Virginia Health Sciences Center, PO Box 800170, Charlottesville, VA 22908, USA.
Radiology. 2003 Oct;229(1):27-36. doi: 10.1148/radiol.2291020222.
This review, aimed at current practitioners of vertebroplasty, highlights recent changes in patient work-up and procedural techniques that have streamlined the authors' clinical practice. Preprocedural work-up, including history, physical examination, and adjunctive imaging techniques, are discussed. Technical details are reviewed, including types of equipment, techniques of needle placement, and utility of venography. Postprocedural issues are noted, including risk of subsequent fracture after vertebroplasty, long-term outcome of cement in the vertebral body, and utility of prophylactic vertebroplasty. Finally, the current state of evidence in support of the efficacy of vertebroplasty are discussed, with particular attention to the need for ongoing clinical trials.
本综述针对目前的椎体成形术从业者，重点介绍了患者检查和手术技术方面的最新变化，这些变化简化了作者的临床实践。文中讨论了术前检查，包括病史、体格检查和辅助成像技术。回顾了技术细节，包括设备类型、穿刺针置入技术和静脉造影的作用。记录了术后问题，包括椎体成形术后继发骨折的风险、椎体中骨水泥的长期效果以及预防性椎体成形术的作用。最后，讨论了支持椎体成形术疗效的现有证据状况，特别关注正在进行的临床试验的必要性。
