Muto Mario, Guarnieri Gianluigi, Giurazza Francesco, Manfrè Luigi
1 Neuroradiology Department, Cardarelli Hospital, Naples, Italy.
2 Radiology Department-Università Campus Bio-Medico di Roma, Rome, Italy.
Br J Radiol. 2016;89(1059):20150337. doi: 10.1259/bjr.20150337. Epub 2016 Jan 5.
Vertebral cementoplasty is a well-known mini-invasive treatment to obtain pain relief in patients affected by vertebral porotic fractures, primary or secondary spine lesions and spine trauma through intrametameric cement injection. Two major categories of treatment are included within the term vertebral cementoplasty: the first is vertebroplasty in which a simple cement injection in the vertebral body is performed; the second is assisted technique in which a device is positioned inside the metamer before the cement injection to restore vertebral height and allow a better cement distribution, reducing the kyphotic deformity of the spine, trying to obtain an almost normal spine biomechanics. We will describe the most advanced techniques and indications of vertebral cementoplasty, having recently expanded the field of applications to not only patients with porotic fractures but also spine tumours and trauma.
椎体成形术是一种广为人知的微创治疗方法，通过节段内注射骨水泥，为患有椎体骨质疏松性骨折、原发性或继发性脊柱病变以及脊柱创伤的患者缓解疼痛。椎体成形术这一术语涵盖两大类治疗方法：第一种是椎体成形术，即在椎体内单纯注射骨水泥；第二种是辅助技术，即在注射骨水泥前将一个装置放置在节段内，以恢复椎体高度并使骨水泥分布更佳，减少脊柱后凸畸形，试图获得接近正常的脊柱生物力学。我们将描述椎体成形术最先进的技术和适应症，其应用领域最近不仅扩展到骨质疏松性骨折患者，还包括脊柱肿瘤和创伤患者。
