Department of Interventional Radiology, MD Anderson Cancer Center, Houston, TX.
Department of Interventional Radiology, MD Anderson Cancer Center, Houston, TX.
Tech Vasc Interv Radiol. 2024 Sep;27(3):100988. doi: 10.1016/j.tvir.2024.100988. Epub 2024 Aug 24.
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.
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。