Masala Salvatore, Calabria Eros, Nezzo Marco, De Vivo Dominique, Neroni Luca, Simonetti Giovanni
Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, Fondazione Policlinico Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.
Case Rep Radiol. 2013;2013:356109. doi: 10.1155/2013/356109. Epub 2013 Mar 14.
We will discuss a potential role of percutaneous vertebroplasty (PVP) in the management of a patient with immobilization syndrome due to paraplegia and vertebral osteoporotic fractures. While PVP is commonly used for the treatment of osteoporotic thoracolumbar vertebral compression fractures, its role in vertebral stabilization in patient with immobilization syndrome has not been reported in the literature. A 73-year-old woman affected by immobilization syndrome due to paraplegia and vertebral osteoporotic fractures was treated with PVP of vertebrae D12, L1, and L4. After PVP, the patient did not need any antalgic therapy, and there was a significant improvement regarding mobilization, performance of physiological functions, daily management of personal care, and treatment of decubitus ulcers, increasing life quality and psychological well-being.
我们将讨论经皮椎体成形术（PVP）在因截瘫和椎体骨质疏松性骨折导致的制动综合征患者管理中的潜在作用。虽然PVP常用于治疗骨质疏松性胸腰椎椎体压缩骨折，但其在制动综合征患者椎体稳定方面的作用尚未见文献报道。一名73岁因截瘫和椎体骨质疏松性骨折而患有制动综合征的女性接受了第12胸椎、第1腰椎和第4腰椎的PVP治疗。PVP术后，患者无需任何止痛治疗，在活动能力、生理功能表现、个人护理日常管理以及压疮治疗方面均有显著改善，提高了生活质量和心理健康水平。
