介入性脊柱手术。

Interventional spine procedures.

作者信息

Kelekis A D, Somon T, Yilmaz H, Bize P, Brountzos E N, Lovblad K, Ruefenacht D, Martin J B

机构信息

Attikon University Hospital, 2nd Radiology Department, University of Athens, Rimini 1, 12461 Athens, Greece.

出版信息

Eur J Radiol. 2005 Sep;55(3):362-83. doi: 10.1016/j.ejrad.2005.03.024.

DOI:10.1016/j.ejrad.2005.03.024

PMID:16129245

Abstract

Minimally invasive techniques for the treatment of some spinal diseases are percutaneous treatments, proposed before classic surgery. By using imaging guidance, one can significantly increase accuracy and decrease complication rates. This review report physiopathology and discusses indications, methods, complications and results of performing these techniques on the spine, including different level (cervical, thoracic, lumbar and sacroiliac) and different kind of treatments (nerve block, disc treatment and bone treatment). Finally the present article also reviews current literature on the controversial issues involved.

摘要

治疗某些脊柱疾病的微创技术是在传统手术之前提出的经皮治疗方法。通过使用影像引导，可以显著提高准确性并降低并发症发生率。本综述报告了病理生理学，并讨论了在脊柱上实施这些技术的适应症、方法、并发症和结果，包括不同节段（颈椎、胸椎、腰椎和骶髂关节）以及不同类型的治疗（神经阻滞、椎间盘治疗和骨治疗）。最后，本文还综述了有关所涉及争议问题的当前文献。