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胸椎爆裂骨折椎体成形术中羟基磷灰石骨块向前突出：一例报告

Anterior Protrusion of Hydroxyapatite Blocks During Vertebroplasty for Thoracic Burst Fractures: A Case Report.

作者信息

Yagi Yuko, Horii Chiaki, Koyama Shimpei, Onishi Yuki, Kawamura Naohiro

机构信息

Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, JPN.

Department of Orthopedics, Tokyo Metropolitan Hiroo Hospital, Tokyo, JPN.

出版信息

Cureus. 2024 Apr 22;16(4):e58784. doi: 10.7759/cureus.58784. eCollection 2024 Apr.

DOI:10.7759/cureus.58784
PMID:38784331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11111595/
Abstract

Research on complications necessitating reoperation following vertebroplasty related to hydroxyapatite (HA) blocks is limited. We present the case of a 25-year-old woman who underwent posterior fixation and vertebroplasty using HA blocks for a T12 burst fracture. Postoperative computed tomography revealed anterior protrusion of some blocks, with consequent compression of the descending aorta. We removed the protruded blocks viaa transthoracic approach and observed no aortic injuries. Although HA blocks are considered safe for vertebroplasty, surgeons should be aware of the risk of anterior protrusion and potential aortic injury.

摘要

关于与羟基磷灰石（HA）骨水泥椎体成形术后需要再次手术的并发症的研究有限。我们报告一例25岁女性，因T12爆裂骨折接受了后路固定及使用HA骨水泥的椎体成形术。术后计算机断层扫描显示部分骨水泥向前突出，导致降主动脉受压。我们通过经胸入路取出突出的骨水泥，未发现主动脉损伤。尽管HA骨水泥被认为用于椎体成形术是安全的，但外科医生应意识到骨水泥向前突出的风险及潜在的主动脉损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/a558d6e143b5/cureus-0016-00000058784-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/cc7329a99278/cureus-0016-00000058784-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/5ea3c1a20654/cureus-0016-00000058784-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/b2a15d7308fe/cureus-0016-00000058784-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/a558d6e143b5/cureus-0016-00000058784-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/cc7329a99278/cureus-0016-00000058784-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/5ea3c1a20654/cureus-0016-00000058784-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/b2a15d7308fe/cureus-0016-00000058784-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/11111595/a558d6e143b5/cureus-0016-00000058784-i04.jpg

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本文引用的文献

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Pulmonary Embolism After Vertebroplasty with Use of Hydroxyapatite Blocks: A Case Report.使用羟基磷灰石骨块椎体成形术后发生肺栓塞：一例报告
JBJS Case Connect. 2013 Dec 24;3(4 Suppl 8):e132. doi: 10.2106/JBJS.CC.M.00159.
2
Temporary short-segment pedicle screw fixation for thoracolumbar burst fractures: comparative study with or without vertebroplasty.胸腰椎爆裂骨折的临时短节段椎弓根螺钉固定：椎体成形术与非椎体成形术的对比研究
Spine J. 2017 Aug;17(8):1113-1119. doi: 10.1016/j.spinee.2017.03.022. Epub 2017 Mar 31.
3
Fusion may not be a necessary procedure for surgically treated burst fractures of the thoracolumbar and lumbar spines: a follow-up of at least ten years.
对于手术治疗的胸腰椎和腰椎爆裂骨折，融合术可能并非必要手术：至少十年的随访研究
J Bone Joint Surg Am. 2014 Oct 15;96(20):1724-31. doi: 10.2106/JBJS.M.01486.
4
A minimally invasive surgery combining temporary percutaneous pedicle screw fixation without fusion and vertebroplasty with transpedicular intracorporeal hydroxyapatite blocks grafting for fresh thoracolumbar burst fractures: prospective study.一种用于新鲜胸腰椎爆裂骨折的微创手术，该手术结合了不融合的临时经皮椎弓根螺钉固定、椎体成形术以及经椎弓根体内羟基磷灰石块移植：前瞻性研究
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Percutaneous vertebroplasty using hydroxyapatite blocks for the treatment of vertebral body fracture.使用羟基磷灰石骨块经皮椎体成形术治疗椎体骨折
Neurol Med Chir (Tokyo). 2009 Nov;49(11):501-6. doi: 10.2176/nmc.49.501.
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