Percutaneous vertebroplasty: Current concepts and local experience

被引:8
作者
Hee, HT [1 ]
机构
[1] Natl Univ Singapore, Dept Orthopaed Surg, Div Spinal Surg, Singapore 119074, Singapore
关键词
vertebroplasty; compression fractures;
D O I
10.4103/0028-3886.22617
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
With the aging population in our country, symptomatic osteoporotic compression fractures are increasingly common. Osteolytic compression fractures from spinal metastasis are also becoming more frequently seen because of the longer life expectancy from improvements in chemotherapy. Percutaneous vertebroplasty with PMMA has been shown to be an efficient procedure to treat pain due to these fractures. It is a minimally invasive procedure performed under local anesthesia and sedation. Injection of PMMA provides immediate stability when it hardens, and permits the patient to ambulate without pain. Appropriate patient selection is the key to clinical success. However, this procedure must be treated with respect, and has to be performed by physicians with the necessary training. Otherwise, increased pain, paralysis, and even death may occur from this seemingly innocuous procedure. In this article, I will deal with the background issues of osteoporotic and osteolytic vertebral compression fractures, patient selection, surgical technique, complications, and review of current literature on vertebroplasty. Key areas of development in this field include the use of kyphoplasty, defining the role of prophylactic augmentation, and improvements in biomaterials.
引用
收藏
页码:475 / 482
页数:8
相关论文
共 43 条
[1]   Predictors of outcomes of percutaneous vertebroplasty for osteoporotic vertebral fractures [J].
Alvarez, L ;
Pérez-Higueras, A ;
Granizo, JJ ;
de Miguel, I ;
Quiñones, D ;
Rossi, RE .
SPINE, 2005, 30 (01) :87-92
[2]  
ALVAREZ L, 2001, EUR SPINE J, V10, P125
[3]   Percutaneous vertebroplasty for pain relief and spinal stabilization [J].
Barr, JD ;
Barr, MS ;
Lemley, TJ ;
McCann, RM .
SPINE, 2000, 25 (08) :923-928
[4]   The biomechanics of vertebroplasty - The effect of cement volume on mechanical behavior [J].
Belkoff, SM ;
Mathis, JM ;
Jasper, LE ;
Deramond, H .
SPINE, 2001, 26 (14) :1537-1541
[5]   An ex vivo biomechanical evaluation of a hydroxyapatite cement for use with vertebroplasty [J].
Belkoff, SM ;
Mathis, JM ;
Jasper, LE ;
Deramond, H .
SPINE, 2001, 26 (14) :1542-1546
[6]   An ex vivo biomechanical evaluation of an inflatable bone tamp used in the treatment of compression fracture [J].
Belkoff, SM ;
Mathis, JM ;
Fenton, DC ;
Scribner, RM ;
Reiley, ME ;
Talmadge, K .
SPINE, 2001, 26 (02) :151-156
[7]  
Bostrom MP, 1997, SPINE S, V22, P38, DOI DOI 10.1097/00007632-199712151-00007
[8]   INCIDENCE OF CLINICALLY DIAGNOSED VERTEBRAL FRACTURES - A POPULATION-BASED STUDY IN ROCHESTER, MINNESOTA, 1985-1989 [J].
COOPER, C ;
ATKINSON, EJ ;
OFALLON, WM ;
MELTON, LJ .
JOURNAL OF BONE AND MINERAL RESEARCH, 1992, 7 (02) :221-227
[9]   Percutaneous vertebroplasty: State of the art [J].
Cotten, A ;
Boutry, N ;
Cortet, B ;
Assaker, R ;
Demondion, X ;
Leblond, D ;
Chastanet, P ;
Duquesnoy, B ;
Deramond, H .
RADIOGRAPHICS, 1998, 18 (02) :311-320
[10]   Acute osteoporotic vertebral collapse:: Open study on percutaneous injection of acrylic surgical cement in 20 patients [J].
Cyteval, C ;
Sarrabère, MPB ;
Roux, JO ;
Thomas, E ;
Jorgensen, C ;
Blotman, F ;
Sany, J ;
Taourel, P .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1999, 173 (06) :1685-1690