Lin Jun, Liu Hao, Yang Peng, Yang Huilin
Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University Suzhou Jiangsu, China.
Int J Clin Exp Med. 2015 Mar 15;8(3):4686-9. eCollection 2015.
For vertebroplasty, it is necessary to determine certain vertebrae which should be primarily treated in multilevel osteoporotic vertebral compression fractures (OVCFs). The case presents that a 63-year-old female patient suffering from back pain, has received vertebroplasty four times to achieve pain relief, including total fourteen vertebrae. Retrospectively, it is choosing improper vertebrae to be treated that fails to relieve pain repeatedly. We come up with the term of painful responsible vertebrae which cause back pain in OVCFs, and illustrate clinical evidence of imaging, especially magnetic resonance imaging (MRI) scans, to locate painful responsible vertebrae preoperatively.
对于椎体成形术而言，有必要确定在多节段骨质疏松性椎体压缩骨折（OVCFs）中应首先治疗的特定椎体。该病例为一名63岁女性患者，因背痛接受了4次椎体成形术以缓解疼痛，共治疗了14个椎体。回顾发现，反复未能缓解疼痛是因为选择了不恰当的椎体进行治疗。我们提出了OVCFs中导致背痛的疼痛责任椎体这一术语，并阐述了影像学，尤其是磁共振成像（MRI）扫描的临床证据，以便在术前定位疼痛责任椎体。
