Percutaneous Vertebral Augmentation: The Status of Vertebroplasty and Current Controversies

被引:13
作者
Hargunani, Rikin [1 ,2 ]
Le Corroller, Thomas [1 ,2 ]
Khashoggi, Khalid [1 ,2 ]
Murphy, Kieran J. [3 ]
Munk, Peter L. [1 ,2 ]
机构
[1] Vancouver Gen Hosp, Dept Radiol, Vancouver, BC V5Z 1M9, Canada
[2] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada
[3] Univ Toronto, Dept Med Imaging, Univ Hlth Network, Toronto, ON, Canada
关键词
Vertebroplasty; osteoporotic fracture; pathological fracture; image guidance; simplicity; COMPRESSION FRACTURES; BALLOON KYPHOPLASTY; PAIN RELIEF; POLYMETHYLMETHACRYLATE VERTEBROPLASTY; RANDOMIZED-TRIAL; METAANALYSIS; EFFICACY;
D O I
10.1055/s-0031-1275594
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Vertebroplasty is a cost-effective procedure for the relief of pain and suffering in the appropriate patient when done by a skilled practitioner under good image guidance. No study has ever shown any cost benefit of any balloon-based osteoporotic spine intervention over simple vertebroplasty. No study has ever shown any benefit of any intravertebral implant over vertebroplasty for osteoporotic compression fracture. Recent controversy has highlighted weaknesses in our practice of technology evaluation, and we need to address these issues across the board in the future more scientifically then we have done in the past.
引用
收藏
页码:117 / 124
页数:8
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