Ofluoglu Onder
Department of Orthopedics, Lutfi Kirdar Research Hospital, Semsi Denizer Cd. E-5 Karayolu Cevizli Mevkii 34890, Kartal, Istanbul, Turkey.
Orthop Clin North Am. 2009 Jan;40(1):155-68, viii. doi: 10.1016/j.ocl.2008.09.006.
In most patients who have spinal metastases, treatment is mainly palliative. The conventional surgical methods carry higher risks of complications and postoperative morbidity. Minimally invasive spinal interventions seem to be reasonable alternatives to treat spinal metastatic disease. These procedures can result in less soft tissue trauma, lower blood loss, shorter hospitalization time and are better tolerated by the patients. In this review, the techniques and results of minimally invasive management in spinal metastasis, including percutaneous image-guided interventions (vertebroplasty, kyphoplasty, and radiofrequency ablation) and minimally invasive surgical techniques (endoscopic and minimal access operations), are presented.
在大多数患有脊柱转移瘤的患者中，治疗主要是姑息性的。传统手术方法并发症和术后发病率的风险较高。微创脊柱干预似乎是治疗脊柱转移性疾病的合理替代方案。这些手术可减少软组织创伤、降低失血量、缩短住院时间，且患者耐受性更好。在本综述中，介绍了脊柱转移瘤微创治疗的技术和结果，包括经皮影像引导干预（椎体成形术、后凸成形术和射频消融）以及微创外科技术（内镜手术和微创入路手术）。
