Shaibani Ali, Ali Saad, Bhatt Hem
Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Semin Intervent Radiol. 2007 Dec;24(4):409-18. doi: 10.1055/s-2007-992329.
Vertebroplasty and kyphoplasty are percutaneous techniques developed over the past 20 years to treat vertebral hemangiomas, osteoporotic compression fractures, and osteolytic tumors of the spine. In carefully selected patients, these procedures have led to the cessation or significant reduction in pain in 80 to 90% of patients. In this article, we review the indications and contraindications of these procedures, appropriate patient selection and evaluation, the technique, outcomes, and the potential complications of this form of therapy when performed for the alleviation of pain for osteolytic tumors of the spine.
椎体成形术和后凸成形术是过去20年中发展起来的用于治疗椎体血管瘤、骨质疏松性压缩骨折和脊柱溶骨性肿瘤的经皮技术。在经过精心挑选的患者中,这些手术已使80%至90%的患者疼痛停止或显著减轻。在本文中,我们回顾了这些手术的适应证和禁忌证、合适的患者选择和评估、技术、结果以及为缓解脊柱溶骨性肿瘤疼痛而进行这种治疗形式的潜在并发症。