椎体成形术与后凸成形术的比较综述
Comparative review of vertebroplasty and kyphoplasty.
作者信息
Ruiz Santiago Fernando, Santiago Chinchilla Alicia, Guzmán Álvarez Luis, Pérez Abela Antonio Luis, Castellano García Maria Del Mar, Pajares López Miguel
机构信息
Fernando Ruiz Santiago, Luis Guzmán Álvarez, Maria del Mar Castellano García, Radiology Department, Hospital of Traumatology, 18014 Granada, Spain.
出版信息
World J Radiol. 2014 Jun 28;6(6):329-43. doi: 10.4329/wjr.v6.i6.329.
Abstract
The aim of this review is to compare the effectiveness of percutaneous vertebroplasty and kyphoplasty to treat pain and improve functional outcome from vertebral fractures secondary to osteoporosis and tumor conditions. In 2009, two open randomized controlled trials published in the New England Journal of Medicine questioned the value of vertebroplasty in treating vertebral compression fractures. Nevertheless, the practice of physicians treating these conditions has barely changed. The objective of this review is to try to clarify the most important issues, based on our own experience and the reported evidence about both techniques, and to guide towards the most appropriate choice of treatment of vertebral fractures, although many questions still remain unanswered.
摘要
本综述的目的是比较经皮椎体成形术和后凸成形术在治疗骨质疏松和肿瘤性疾病继发椎体骨折引起的疼痛及改善功能结局方面的有效性。2009年，发表在《新英格兰医学杂志》上的两项开放性随机对照试验对椎体成形术治疗椎体压缩骨折的价值提出了质疑。然而，治疗这些疾病的医生的做法几乎没有改变。本综述的目的是根据我们自己的经验以及有关这两种技术的报道证据，试图阐明最重要的问题，并指导对椎体骨折进行最合适的治疗选择，尽管许多问题仍未得到解答。
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