Khoury Viviane, Hamze Bassam, Larédo Jean-Denis
Department of Diagnostic Radiology, McGill University Health Center, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada.
J Vasc Interv Radiol. 2008 Apr;19(4):606-9. doi: 10.1016/j.jvir.2008.01.006.
The present report describes the use of a modified transpedicular vertebroplasty approach via the iliac bone for treatment of a painful osteoporotic L5 vertebral body fracture in a 66-year-old woman with osteogenesis imperfecta. As a result of altered osseous morphology of the pelvic girdle and lumbosacral junction secondary to the patient's condition, vertebroplasty at L5 was successfully performed by entering the needle into the adjacent superomedial aspect of iliac bone before passing through the pedicle and then into the vertebral body. This modified vertebroplasty approach provides an interesting alternative for fractures involving the frequently less accessible lowermost lumbar vertebral body.
本报告描述了一种经髂骨改良经椎弓根椎体成形术方法，用于治疗一名患有成骨不全症的66岁女性的疼痛性骨质疏松性L5椎体骨折。由于患者病情导致骨盆带和腰骶交界处骨形态改变，通过在穿过椎弓根然后进入椎体之前将针插入髂骨相邻的上内侧，成功地对L5进行了椎体成形术。这种改良的椎体成形术方法为涉及通常难以触及的最下部腰椎椎体的骨折提供了一种有趣的替代方法。
