Vertebroplasty and kyphoplasty: A comparative review of efficacy and adverse events

被引：58
作者：
McCall T. [1 ]
Cole C. [1 ]
Dailey A. [1 ]
机构：
[1] Department of Neurosurgery, University of Utah, Salt Lake City, UT 84132
来源：
Current Reviews in Musculoskeletal Medicine | 2008年 / 1卷 / 1期
关键词：
Kyphoplasty; Vertebroplasty;
D O I：
10.1007/s12178-007-9013-0
中图分类号：
学科分类号：
摘要：
Vertebroplasty and kyphoplasty have become common surgical techniques for the treatment of vertebral compression fractures. Vertebroplasty involves the percutaneous injection of bone cement into the cancellous bone of a vertebral body with the goals of pain alleviation and preventing further loss of vertebral body height. Kyphoplasty utilizes an inflatable balloon to create a cavity for the cement with the additional potential goals of restoring height and reducing kyphosis. Vertebroplasty and kyphoplasty are effective treatment options for the reduction of pain associated with vertebral body compression fractures. Biomechanical studies demonstrate that kyphoplasty is initially superior for increasing vertebral body height and reducing kyphosis, but these gains are lost with repetitive loading. Complications secondary to extravasation of cement include compression of neural elements and venous embolism. These complications are rare but more common with vertebroplasty. Vertebroplasty and kyphoplasty are both safe and effective procedures for the treatment of vertebral body compression fractures. © Humana Press 2008.
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页码：17 / 23
页数：6
相关论文
共 79 条
[1]  
Dickman C.A., Fessler R.G., MacMillan M., Et al., Transpedicular screw-rod fixation of the lumbar spine: Operative technique and outcome in 104 cases, J Neurosurg, 77, pp. 860-870, (1992)
[2]  
Galibert P., Deramond H., Rosat P., Et al., Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty, Neurochirurgie, 33, pp. 166-168, (1987)
[3]  
McGraw J.K., Lippert J.A., Minkus K.D., Et al., Prospective evaluation of pain relief in 100 patients undergoing percutaneous vertebroplasty: Results and follow-up, J Vasc Interv Radiol, 13, pp. 883-886, (2002)
[4]  
Zoarski G.H., Snow P., Olan W.J., Stallmeyer M.J.B., Dick B.W., Hebel J.R., De Deyne M., Percutaneous vertebroplasty for osteoporotic compression fractures: Quantitative prospective evaluation of long-term outcomes, Journal of Vascular and Interventional Radiology, 13, 2, pp. 139-148, (2002)
[5]  
Atalay B., Caner H., Gokce C., Et al., Kyphoplasty: 2 years of experience in a neurosurgery department, Surg Neurol, 64, SUPPL. 2, (2005)
[6]  
Burton A.W., Mendel E., Vertebroplasty and kyphoplasty, Pain Physician, 6, pp. 335-341, (2003)
[7]  
Kaemmerlen P., Thiesse P., Jonas P., Duquesnel J., Bascoulergue Y., Lapras C., Percutaneous injection of orthopedic cement in metastatic vertebral lesions, New England Journal of Medicine, 321, 2, (1989)
[8]  
Tschirhart C.E., Finkelstein J.A., Whyne C.M., Optimization of tumor volume reduction and cement augmentation in percutaneous vertebroplasty for prophylactic treatment of spinal metastases, Journal of Spinal Disorders and Techniques, 19, 8, pp. 584-590, (2006)
[9]  
Lieberman I.H., Dudeney S., Reinhardt M.K., Et al., Initial outcome and efficacy of "kyphoplasty" in the treatment of painful osteoporotic vertebral compression fractures, Spine, 26, pp. 1631-1638, (2001)
[10]  
Cooper C., Atkinson E.J., O'Fallon W.M., Et al., Incidence of clinically diagnosed vertebral fractures: A population-based study in Rochester, Minnesota, 1985-1989, J Bone Miner Res, 7, pp. 221-227, (1992)
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