摘要
经皮椎体成形术为治疗椎体溶骨性骨肿瘤及骨质疏松性椎体压缩性骨折等脊柱疾患的重要方法之一,它能迅速缓解疼痛,提高患者的生活质量,但也存在并发症。越来越多的文献报道椎体成形术后其相邻椎体发生了新发骨折,但两者之间究竟是否存在因果关系,目前尚无定论。因为接受椎体成形术的患者本身即患有转移性骨肿瘤、骨质疏松等基础疾病,新发骨折可能并不是椎体成形术引起的并发症,而可能仅仅是原有基础疾病的进展。本文结合相关文献,重点讨论椎体成形术后是否容易导致新发骨折,新发骨折的发生率是否高于无椎体成形术者,从支持及反对椎体成形术与新发骨折之间存在因果关系两个方面作一综述。
Percutaneous vertebroplasty is widely used as a treatment tor paintul osteoporotic compression fractures and malignant osteolytic tumors. Although the procedure appears to provide dramatic pain relief promote life quality but also with some complications. Additional adjacent vertebral body fracture are frequently reported after vertebroplasty but the cause relationship between the procedure and new-onset vertebral fracture remains unknown. New compression fractures following percutaneous vertebroplasty may not be a complication of the procedure itself, but rather as a part of the course of underlying pathology. The crucial point of discussion in this paper is whether vertebroplasty predisposes the development of additional vertebral fractures, at a rate higher than that seen in the absence of vertebroplasty, but no definitive answer to this question is yet to come. This review explores and attempts to comprehend the data both of supporting and refuting a relationship between vertebroplasty and the development of subsequent fractures.
出处
《介入放射学杂志》
CSCD
2008年第12期903-908,共6页
Journal of Interventional Radiology
