Bròdano G Barbanti, Cappuccio M, Gasbarrini A, Bandiera S, De Salvo F, Cosco F, Boriani S
Unità Operativa di Ortopedia e Traumatologia, Chirurgia del Rachide, Ospedale Maggiore C.A. Pizzardi- Bologna, Italy.
Eur Rev Med Pharmacol Sci. 2007 Mar-Apr;11(2):91-100.
Bone metastases are the most common tumours affecting the musculoskeletal system. The most frequently affected area of the skeleton is the spine. The vertebral bodies are reached largely via the bloodstream and neoplastic substitution of the bone tissue causes progressive structural destruction leading to loss of stability and compression of the intracanal nerve structures. The treatment of bone metastases in the spine is different and controversial, mostly because of the wide spectrum of clinical and radiographic pattern of the local and systemic disease. Percutaneous vertebroplasty is emerging as one of the most promising new interventional procedures for relieving (or reducing) pain and improve stability. In this article we review indications, contraindications, technique, and complications of percutaneous vertebroplasty in spine metastases.
骨转移瘤是影响肌肉骨骼系统最常见的肿瘤。骨骼最常受累的部位是脊柱。椎体主要通过血流受累，骨组织的肿瘤性替代导致进行性结构破坏，进而导致稳定性丧失和椎管内神经结构受压。脊柱骨转移瘤的治疗方法各不相同且存在争议，主要是因为局部和全身疾病的临床和影像学表现范围广泛。经皮椎体成形术正成为缓解（或减轻）疼痛和提高稳定性最有前景的新介入手术之一。在本文中，我们综述经皮椎体成形术治疗脊柱转移瘤的适应证、禁忌证、技术及并发症。
