Filippiadis Dimitrios K, Marcia Stefano, Masala Salvatore, Deschamps Frederic, Kelekis Alexis
2nd Radiology Department, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 1 Rimini Str, Haidari, 12462, Athens, Greece.
Department of Radiology, SS. Trinità Hospital, ASL 8 Cagliari, Via Is Mirrionis 92, 09121, Cagliari, Italy.
Cardiovasc Intervent Radiol. 2017 Dec;40(12):1815-1823. doi: 10.1007/s00270-017-1779-x. Epub 2017 Aug 30.
Vertebroplasty and kyphoplasty are minimally invasive techniques applied for the treatment of vertebral fractures. Since not all vertebral compression fractures are the same, a tailored-based approach is necessary for optimum efficacy and safety results. Nowadays, different cements and materials are proposed as alternatives to the original poly-methylmethacrylate aiming to overcome the limitations and the risks governing its use. Both techniques are governed by high efficacy and low complication rates; multilevel treatment in a single session has been shown to be feasible with no compromise of the technique's safety and efficacy. The purpose of this article is to describe the basic concepts of spinal augmentation by means of vertebroplasty and kyphoplasty. The current status and future of cements used will be defined. Controversies upon issues concerning both techniques will be addressed. Finally, the necessity for a tailored-based approach applying different techniques for different fractures will be addressed.
椎体成形术和后凸成形术是用于治疗椎体骨折的微创技术。由于并非所有椎体压缩骨折都相同，因此需要采用基于个体化的方法以获得最佳疗效和安全结果。如今，人们提出了不同的骨水泥和材料作为原始聚甲基丙烯酸甲酯的替代品，旨在克服其使用中存在的局限性和风险。这两种技术都具有高效和低并发症发生率的特点；单次手术进行多节段治疗已被证明是可行的，且不会影响该技术的安全性和有效性。本文的目的是通过椎体成形术和后凸成形术描述脊柱强化的基本概念。将明确所用骨水泥的现状和未来发展。将讨论有关这两种技术的争议问题。最后，将探讨针对不同骨折采用不同技术的基于个体化方法的必要性。
