Health Science Center, Shenzhen University, Shenzhen 518071, Guangdong Province, China.
Department of Spine Surgery, The 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen 518052, Guangdong Province, China.
Pain Res Manag. 2020 Dec 7;2020:3947368. doi: 10.1155/2020/3947368. eCollection 2020.
Osteoporotic vertebral compression fracture (OVCF) is a common cause of pain and disability and is steadily increasing due to the growth of the elderly population. To date, percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are almost universally accepted as appropriate vertebral augmentation procedures for OVCFs. There are many advantages of vertebral augmentation, such as short surgical time, performance under local anaesthesia, and rapid pain relief. However, there are certain issues regarding the utilization of these vertebral augmentations, such as loss of vertebral height, cement leakage, and adjacent vertebral refracture. Hence, the treatment for OVCF has changed in recent years. Satisfactory clinical results have been obtained worldwide after application of the OsseoFix System, the SpineJack System, radiofrequency kyphoplasty of the vertebral body, and the Kiva VCF treatment system. The following review discusses the development of the current techniques used for vertebral augmentation.
骨质疏松性椎体压缩骨折(OVCF)是疼痛和残疾的常见原因,并且由于老年人口的增长而稳步增加。迄今为止,经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)几乎被普遍认为是 OVCF 的合适的椎体增强手术。椎体增强具有许多优点,例如手术时间短、在局部麻醉下进行以及快速缓解疼痛。但是,这些椎体增强存在一定的问题,例如椎体高度丢失、水泥渗漏和相邻椎体骨折。因此,近年来 OVCF 的治疗方法发生了变化。在应用 OsseoFix 系统、SpineJack 系统、椎体射频后凸成形术和 Kiva VCF 治疗系统后,全球都取得了令人满意的临床效果。以下综述讨论了当前用于椎体增强的技术的发展。