Chiu John C, Stechison Michael T
Department of Neurospine Surgery, California Center for Minimally Invasive Spine Surgery, California Spine Institute Medical Center, Newbury Park, California, USA.
Surg Technol Int. 2005;14:287-96.
Percutaneous vertebral augmentation (VA) and reconstruction with intravertebral polyethylene mesh sac (OptiMesh) and morcelized bone graft provided a minimally invasive efficacious and controlled delivery mechanism to stabilize and treat painful osteoporotic, traumatic and neoplastic vertebral compression fractures (VCFs), as well as avoided serious complications from Polymethylmethacrylate (PMMA) of Vertebroplasty and Kyphoplasty. Osteoconductive and osteoinductive and can be used to create biologic vertebral reconstruction. The adjacent vertebra integrity should be more protected by the construct with a similar elasticity and physical characteristics of the morcelized bone, more matched to that of adjacent bone than PMMA. The indications and surgical techniques are described herein.
经皮椎体强化术（VA）以及使用椎体内聚乙烯网袋（OptiMesh）和碎骨移植进行重建，提供了一种微创、有效且可控的输送机制，以稳定和治疗疼痛性骨质疏松性、创伤性和肿瘤性椎体压缩骨折（VCF），同时避免了椎体成形术和后凸成形术中聚甲基丙烯酸甲酯（PMMA）带来的严重并发症。具有骨传导性和骨诱导性，可用于进行生物椎体重建。与PMMA相比，该结构具有与碎骨相似的弹性和物理特性，更能匹配相邻骨，从而更能保护相邻椎体的完整性。本文描述了其适应证和手术技术。
