Vymazal Josef, Kříž Radko
Cas Lek Cesk. 2018 Summer;157(4):203-207.
Two minimally-invasive techniques in the spinal region are introduced: vertebroplasty and epiduroscopy. Vertebroplasty is mostly used in the treatment of osteoporotic vertebral body fractures, as well as in the palliative treatment of spinal metastases or symptomatic hemangiomas. It is usually performed under fluoroscopic, and often also CT control under analgesic sedation. If correctly indicated an analgesic effect occurs in roughly 90 % of patients. Epiduroscopy is a new technique, which is promising especially in patients with failed back surgery syndrome; patients with clinically-symptomatic fibrous adhesions, generally after repeated surgery. If correctly indicated a positive effect occurs in roughly one third to one half of patients.
椎体成形术和硬膜外腔镜检查。椎体成形术主要用于治疗骨质疏松性椎体骨折，以及脊柱转移瘤或有症状血管瘤的姑息治疗。它通常在荧光镜下进行，并且常常也在镇痛镇静下的CT引导下进行。如果适应证选择正确，大约90%的患者会出现镇痛效果。硬膜外腔镜检查是一种新技术，尤其在腰椎手术失败综合征患者中很有前景；对于临床上有症状的纤维粘连患者，通常是在反复手术后。如果适应证选择正确，大约三分之一到二分之一的患者会出现积极效果。
