Nairn Robert James, Binkhamis Shagran, Sheikh Adnan
Musculoskeletal Division, Department of Diagnostic Imaging, The Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, ON, Canada K1H 8L6.
Radiol Res Pract. 2011;2011:175079. doi: 10.1155/2011/175079. Epub 2011 May 21.
Osteoporotic-associated vertebral compression fractures are a major public health concern, dwarfing even hip fractures in incidence in the United States. These fractures carry a significant morbidity and mortality burden and also represent a major growing source of consumption of scarce heath resources. Percutaneous vertebroplasty remains a commonly used and safe technique for the symptomatic treatment of vertebral compression fractures, both osteoporotic- and neoplastic-induced. By carefully selecting appropriate patients who are referred promptly, vertebroplasty can provide significant and durable pain relief over traditional conservative therapy. Recent controversies surrounding the evidence for vertebroplasty in osteoporotic-associated vertebral compression fractures are reviewed. A comprehensive step-by-step practical guide to performing vertebroplasty is then described. A brief description of patient selection, workup, as well as complications is also provided.
骨质疏松相关的椎体压缩骨折是一个重大的公共卫生问题，在美国其发病率甚至超过髋部骨折。这些骨折带来了巨大的发病和死亡负担，也是稀缺医疗资源消耗的一个主要且不断增长的来源。经皮椎体成形术仍然是治疗椎体压缩骨折（包括骨质疏松性和肿瘤性引起的）的常用且安全的技术。通过仔细挑选及时转诊的合适患者，椎体成形术相较于传统保守治疗能显著且持久地缓解疼痛。本文回顾了近期围绕骨质疏松相关椎体压缩骨折椎体成形术证据的争议。接着描述了一份全面的椎体成形术分步实用指南。还简要介绍了患者选择、检查以及并发症情况。
