Rauschmann M A, von Stechow D, Thomann K-D, Scale D
Orthopädische Universitätsklinik, Stiftung Friedrichsheim, Frankfurt/M.
Orthopade. 2004 Jan;33(1):40-7. doi: 10.1007/s00132-003-0573-4.
Percutaneous vertebroplasty was first introduced in 1984 by Galibert et al. for the treatment of hemangiomas in the spine. The current indications for vertebroplasty also include compression fractures due to osteoporosis as well as osteolytic metastases and spinal myeloma lesions. With the numbers of percutaneous vertebroplasty performed by orthopedic and trauma surgeons, neurosurgeons, and radiologists steadily increasing, complications have also risen. Over the last 3 years an increasing number of cases with varying complications, their genesis, and their management have been reported in the literature. Complications include asymptomatic cement leakage, cardiovascular effects, embolism with lethal outcome as well as severe neurological deficits. This article presents a review of the complications reported in the literature, strategies for preventing possible complications as well as current concepts in therapy management. Several of our cases with cement leakages are presented.
经皮椎体成形术于1984年由加利贝尔等人首次引入，用于治疗脊柱血管瘤。目前椎体成形术的适应证还包括骨质疏松性压缩骨折、溶骨性转移瘤和脊柱骨髓瘤病变。随着骨科和创伤外科医生、神经外科医生以及放射科医生进行经皮椎体成形术的数量稳步增加，并发症也有所上升。在过去3年里，文献中报道了越来越多出现各种并发症、其发生原因及处理方法的病例。并发症包括无症状的骨水泥渗漏、心血管影响、致死性栓塞以及严重的神经功能缺损。本文对文献中报道的并发症、预防可能并发症的策略以及当前的治疗管理理念进行综述。文中还展示了我们遇到的几例骨水泥渗漏病例。
