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椎体成形术治疗骨质疏松性椎体压缩骨折:患者选择及展望

Vertebroplasty in the treatment of osteoporotic vertebral compression fractures: patient selection and perspectives.

作者信息

Martikos Konstantinos, Greggi Tiziana, Vommaro Francesco, Boriani Luca, Scarale Antonio, Zarantonello Paola, Carbone Giuseppe, Stallone Stefano, Zucchini Riccardo

机构信息

Spine Deformities Surgery Division, Istituto Ortopedico Rizzoli , Bologna 40136, Italy.

出版信息

Open Access Rheumatol. 2019 Jul 3;11:157-161. doi: 10.2147/OARRR.S174424. eCollection 2019.

Abstract

Osteoporotic vertebral fractures represent a constantly increasing pathology that may compromise life quality and general health. Among various treatment options, percutaneous vertebroplasty has been used widely over the past 20 years. Although there is a vast amount of retrospective reports in the literature, high-level evidence has emerged only recently. In this paper, the authors provide a synopsis of the current literature on the efficacy and safety of percutaneous vertebroplasty while also presenting a step-by-step description of the surgical procedure, focusing on details that may help in optimizing quality and safety.

摘要

骨质疏松性椎体骨折是一种不断增加的病理状况,可能会影响生活质量和整体健康。在各种治疗选择中,经皮椎体成形术在过去20年中得到了广泛应用。尽管文献中有大量回顾性报告,但高水平证据直到最近才出现。在本文中,作者概述了当前关于经皮椎体成形术疗效和安全性的文献,同时还逐步描述了手术过程,重点关注可能有助于优化质量和安全性的细节。

相似文献

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Vertebroplasty in the treatment of osteoporotic vertebral compression fractures: patient selection and perspectives.
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本文引用的文献

1
Analysis of Risk Factors for New Vertebral Fracture After Percutaneous Vertebroplasty.
Global Spine J. 2018 Aug;8(5):446-452. doi: 10.1177/2192568217732988. Epub 2017 Oct 5.
2
Osteoporotic thoracolumbar compression fractures: long-term retrospective comparison between vertebroplasty and conservative treatment.
Eur Spine J. 2018 Jun;27(Suppl 2):244-247. doi: 10.1007/s00586-018-5605-1. Epub 2018 Apr 19.
5
Risks and benefits of percutaneous vertebroplasty or kyphoplasty in the management of osteoporotic vertebral fractures.
Osteoporos Int. 2014 Mar;25(3):807-19. doi: 10.1007/s00198-013-2574-4. Epub 2013 Nov 22.
10
A randomized trial of vertebroplasty for osteoporotic spinal fractures.
N Engl J Med. 2009 Aug 6;361(6):569-79. doi: 10.1056/NEJMoa0900563.

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