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保持“笔直”:如何进行脊柱肿瘤消融与椎体增强。

Keeping it "straight": how to do spinal tumor ablation with vertebral augmentation.

机构信息

Department of Interventional Radiology, MD Anderson Cancer Center, Houston, TX.

Department of Interventional Radiology, MD Anderson Cancer Center, Houston, TX.

出版信息

Tech Vasc Interv Radiol. 2024 Sep;27(3):100988. doi: 10.1016/j.tvir.2024.100988. Epub 2024 Aug 24.

DOI:10.1016/j.tvir.2024.100988
PMID:39490368
Abstract

This technical review provides a comprehensive overview of spinal tumor ablation and vertebral augmentation. These percutaneous minimally invasive procedures offer significant survival and palliative pain relief benefits for patients with pathological vertebral fractures. Vertebral augmentation, which includes vertebroplasty and kyphoplasty, involves injecting cement into fractured vertebral bodies to restore height. While vertebroplasty involves the direct injection of cement into a fractured vertebral body, kyphoplasty involves using a balloon to create a low-pressure cavity to allow for cement injection to restore the vertebral body height. Over the years, this technique has evolved into a straightforward process, though it presents certain technical challenges discussed in this article.

摘要

本技术综述全面介绍了脊柱肿瘤消融和椎体强化。这些经皮微创介入手术为病理性椎体骨折患者带来了显著的生存和姑息性止痛获益。椎体强化术包括椎体成形术和后凸成形术,通过向骨折的椎体注入骨水泥来恢复高度。椎体成形术涉及将骨水泥直接注入骨折的椎体,而后凸成形术则使用球囊创建一个低压腔,以便注入骨水泥恢复椎体高度。多年来,这项技术已经发展成为一个简单的过程,但也存在一些技术挑战,本文对此进行了讨论。

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Keeping it "straight": how to do spinal tumor ablation with vertebral augmentation.保持“笔直”:如何进行脊柱肿瘤消融与椎体增强。
Tech Vasc Interv Radiol. 2024 Sep;27(3):100988. doi: 10.1016/j.tvir.2024.100988. Epub 2024 Aug 24.
2
Vertebral augmentation: How we do it.椎体强化术:我们的操作方法。
Tech Vasc Interv Radiol. 2024 Sep;27(3):100979. doi: 10.1016/j.tvir.2024.100979. Epub 2024 Sep 3.
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Current status of percutaneous vertebroplasty and percutaneous kyphoplasty--a review.经皮椎体成形术和经皮后凸成形术的现状——综述。
Med Sci Monit. 2013 Oct 7;19:826-36. doi: 10.12659/MSM.889479.
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Balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral body compression fractures: clinical and radiological outcomes.球囊后凸成形术与经皮椎体成形术治疗骨质疏松性椎体压缩骨折:临床及影像学结果
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[The evaluation of balloonkyphoplasty for osteoporotic vertebral fractures. An interdisciplinary concept].[经皮球囊扩张椎体后凸成形术治疗骨质疏松性椎体骨折的评估。一种跨学科理念]
Orthopade. 2004 Aug;33(8):893-904. doi: 10.1007/s00132-004-0669-5.
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Percutaneous vertebral augmentation: an elevation in adjacent-level fracture risk in kyphoplasty as compared with vertebroplasty.经皮椎体强化术:与椎体成形术相比,后凸成形术会增加相邻节段骨折风险。
Spine J. 2007 Sep-Oct;7(5):575-82. doi: 10.1016/j.spinee.2006.10.020. Epub 2007 Jan 24.
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Treatment options for vertebral fractures an overview of different philosophies and techniques for vertebral augmentation.椎体骨折的治疗选择——椎体强化术不同理念与技术概述
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Comparison of kyphoplasty and vertebroplasty in the treatment of fresh vertebral compression fractures.椎体后凸成形术与椎体成形术治疗新鲜椎体压缩骨折的比较。
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Minding the Gap in Vertebroplasty: Vertebral Body Fracture Clefts and Cement Nonunion.椎体成形术中的缝隙问题:椎体骨折裂隙和骨水泥非融合。
Pain Physician. 2021 Mar;24(2):E221-E230.
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Percutaneous vertebral augmentation: vertebroplasty, kyphoplasty and skyphoplasty.经皮椎体强化术:椎体成形术、后凸成形术和Skyphoplasty术。
Radiol Clin North Am. 2008 May;46(3):611-35, vii. doi: 10.1016/j.rcl.2008.05.005.

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Safety, Efficacy, and Adjacent-level Fracture Risk Following Vertebral Augmentation and Radiofrequency Ablation for the Treatment of Spine Metastases in Patients with Cancer.癌症患者脊柱转移瘤椎体强化术和射频消融术后的安全性、有效性及相邻节段骨折风险
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