Schmidt-Rohlfing B, Reilmann H, Pfeifer R, Kobbe P, Pape H C
Klinik für Orthopädie und Unfallchirurgie, Schwerpunkt Unfallchirurgie, Universitätsklinikum, Aachen.
Unfallchirurg. 2011 May;114(5):431-40; quiz 41-2. doi: 10.1007/s00113-011-2013-y.
The indications, technical principals, and results after vertebroplasty and kyphoplasty are presented in detail. We focus on the complications of both procedures. The benefit of vertebroplasty has been fundamentally questioned by two papers which have recently been published in the New England Journal of Medicine. Our paper discusses the present knowledge and policy about indication. The contradictory results from different studies are presented. In general, there is a lack of randomized clinical trials. Therefore, a final judgement of these two techniques is not possible. New procedures like stent-kyphoplasty or lordoplasty are briefly described. However, at present an assessment of these new techniques is impossible. A similar situation is give for the application of resorbable bone cements.
本文详细介绍了椎体成形术和后凸成形术的适应证、技术原理及术后结果。我们重点关注这两种手术的并发症。近期发表在《新英格兰医学杂志》上的两篇论文对椎体成形术的益处提出了根本性质疑。我们的论文讨论了目前关于适应证的知识和策略。文中呈现了不同研究的矛盾结果。总体而言，缺乏随机临床试验。因此，无法对这两种技术做出最终评判。文中简要描述了诸如支架后凸成形术或椎体矫形术等新手术。然而，目前无法对这些新技术进行评估。可吸收骨水泥的应用情况与之类似。
