Department of Neurosurgery, The Mount Sinai School of Medicine, The Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1136, New York, NY 10009, USA.
J Vasc Interv Radiol. 2011 Apr;22(4):529-32. doi: 10.1016/j.jvir.2010.12.032. Epub 2011 Feb 26.
The authors report a novel application of cement augmentation for treatment of a symptomatic sternal fracture. Sternal fractures often cause debilitating pain and can affect ventilation. Given the success of vertebroplasty in patients in treating back pain, the authors used a similar technique in a 56-year-old woman with chronic obstructive pulmonary disease and an acute comminuted sternal fracture refractory to conservative management. The authors used computed tomography guidance and cement augmentation for the fracture. The patient subsequently reported good pain relief and improved breathing. Sternoplasty may be a viable alternative for patients with sternal fractures and refractory pain.
作者报告了一种新的应用,即使用骨水泥增强来治疗胸骨骨折。胸骨骨折常导致严重疼痛,并可能影响呼吸。鉴于椎体成形术治疗背痛患者的成功,作者对一名患有慢性阻塞性肺病和急性粉碎性胸骨骨折且对保守治疗无反应的 56 岁女性使用了类似的技术。作者使用计算机断层扫描引导和骨水泥增强来治疗骨折。患者随后报告疼痛明显缓解,呼吸改善。胸骨成形术可能是胸骨骨折和难治性疼痛患者的一种可行的替代方法。