Salapura Vladka, Jeromel Miran
Acta Clin Croat. 2014 Mar;53(1):44-54.
Metastatic tumors are the most common malignancy of bone. Many patients with spinal metastases present with pain and pathologic fractures. The advent of interventional radiology resulted in alternative and less invasive treatment of these patients. This article presents minimally invasive (percutaneous) procedures that are currently in use, i.e. vertebroplasty, kyphoplasty, osteoplasty, radiofrequency ablation, cryoablation, and transarterial embolization. Indications, contraindications, results and complications are also discussed. According to our current knowledge of the results reported in the literature, minimally invasive techniques are successful methods for the treatment of metastatic spinal and extraspinal disease and can be used as alternative treatment to standard surgical or non-surgical procedures.
转移性肿瘤是骨骼最常见的恶性肿瘤。许多脊柱转移瘤患者会出现疼痛和病理性骨折。介入放射学的出现为这些患者带来了替代性的、侵入性较小的治疗方法。本文介绍了目前正在使用的微创（经皮）手术，即椎体成形术、后凸成形术、骨成形术、射频消融、冷冻消融和经动脉栓塞。还讨论了适应证、禁忌证、结果和并发症。根据我们目前对文献报道结果的了解，微创技术是治疗转移性脊柱和脊柱外疾病的成功方法，可作为标准手术或非手术治疗的替代方法。
