Krüger A, Hierholzer J, Bergmann M, Oberkircher L, Ruchholtz S
Klinik für Unfall-, Wiederherstellungs- und Handchirurgie, Philipps-Universität Marburg, Universitätsklinikum Giessen und Marburg, Standort Marburg, Deutschland,
Unfallchirurg. 2013 Sep;116(9):813-24. doi: 10.1007/s00113-012-2185-0.
This study was performed to provide an overview of the current practice of balloon kyphoplasty (BKP) and percutaneous vertebroplasty (PVP) in Germany. All surgical departments were evaluated for indications, experience and expertise, and the complications.
Questionnaires were mailed to 1330 surgical departments.
A total of 582 (43.76%) surveys were returned; 257 departments perform neither BKP nor PVP. Osteoporotic compression fractures and to a lesser extent hemangiomas and metastasis were treated. About 30% of the BKP users consider traumatic vertebral fractures in young patients as an indication, 76% of the respondents perform further spinal surgery, and 71% of the users operate within the first 2 weeks. For both interventions cement leakage is the most common complication.
Nationwide kyphoplasty and vertebroplasty are widely used by surgeons. The number of users as well as the annual number of cases in each center are increasing continuously. The partially incomplete present state of the studies must be validated by future high-quality, randomized studies.
本研究旨在概述德国目前球囊后凸成形术（BKP）和经皮椎体成形术（PVP）的应用情况。对所有外科科室的手术指征、经验和专业技能以及并发症进行评估。
向1330个外科科室邮寄调查问卷。
共收回582份（43.76%）调查问卷；257个科室既不开展BKP也不开展PVP。治疗了骨质疏松性压缩骨折，血管瘤和转移瘤的治疗相对较少。约30%的BKP使用者将年轻患者的创伤性椎体骨折视为手术指征，76%的受访者会进行进一步的脊柱手术，71%的使用者在两周内进行手术。两种手术中，骨水泥渗漏都是最常见的并发症。
全国范围内，后凸成形术和椎体成形术被外科医生广泛应用。每个中心的使用者数量以及每年的病例数都在持续增加。目前部分研究的不完整性必须通过未来高质量的随机研究加以验证。
