大型椎间间隙经皮椎体成形术后骨水泥渗漏导致再骨折
Refracture with cement extrusion following percutaneous vertebroplasty of a large interbody cleft.
作者信息
Wagner A L, Baskurt E
机构信息
Department of Radiology, Rockingham Memorial Hospital, Harrisonburg, VA 22801, USA.
出版信息
AJNR Am J Neuroradiol. 2006 Jan;27(1):230-1.
Abstract
We present a case report of a patient on long-term dialysis who underwent percutaneous vertebroplasty to treat a painful intrabody vertebral cleft and who subsequently experienced a refracture of the posterior portion of the same vertebral body, resulting in anterior displacement of the cement through the anterior cortex. The case raises the question whether, in some patients, the marrow space should be filled with cement in addition to the cleft.
摘要
我们报告一例长期透析患者的病例，该患者接受了经皮椎体成形术以治疗疼痛性椎体体内裂隙，随后同一椎体后部发生再骨折，导致骨水泥通过前皮质向前移位。该病例引发了一个问题，即在某些患者中，除了裂隙外，骨髓腔是否也应用骨水泥填充。
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本文引用的文献
1
Complications of percutaneous vertebroplasty and their prevention.
Skeletal Radiol. 2004 Sep;33(9):493-505. doi: 10.1007/s00256-004-0776-8. Epub 2004 Jun 17.
2
Polymethylmethacrylate cement dislodgment following percutaneous vertebroplasty: a case report.
Spine (Phila Pa 1976). 2003 Nov 15;28(22):E457-60. doi: 10.1097/01.BRS.0000096668.54378.25.
3
Kyphosis correction and height restoration effects of percutaneous vertebroplasty.
AJNR Am J Neuroradiol. 2003 Oct;24(9):1893-900.
4
Vertebral compression fractures: pain reduction and improvement in functional mobility after percutaneous polymethylmethacrylate vertebroplasty retrospective report of 245 cases.
Radiology. 2003 Feb;226(2):366-72. doi: 10.1148/radiol.2262010906.
5
Intravertebral clefts opacified during vertebroplasty: pathogenesis, technical implications, and prognostic significance.
AJNR Am J Neuroradiol. 2002 Nov-Dec;23(10):1642-6.
6
Percutaneous vertebroplasty for osteoporotic compression fractures: quantitative prospective evaluation of long-term outcomes.
J Vasc Interv Radiol. 2002 Feb;13(2 Pt 1):139-48. doi: 10.1016/s1051-0443(07)61930-7.
7
Percutaneous vertebroplasty for pain relief and spinal stabilization.
Spine (Phila Pa 1976). 2000 Apr 15;25(8):923-8. doi: 10.1097/00007632-200004150-00005.
8
Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects.
AJNR Am J Neuroradiol. 1997 Nov-Dec;18(10):1897-904.
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