Balloon kyphoplasty for osteoporotic vertebral fracture:key point of bone cement injection
10.3969/j.issn.2095-4344.2014.09.027
- VernacularTitle:椎体后凸成形治疗骨质疏松性脊柱骨折：注入骨水泥的要点
- Author:
Xiongwei YAN
;
Hongyan ZHANG
- Publication Type:Journal Article
- Keywords:
osteoporotic fractures;
thoracic vertebrae;
lumbar vertebrae;
spinal fractures
- From:
Chinese Journal of Tissue Engineering Research
2014;(9):1471-1476
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Bal oon kyphoplasty is a new technique of microtraumatic surgery of spine developed in recent years, and brings a new pathway for the treatment of osteoporotic vertebral fracture in the elderly.
OBJECTIVE:To investigate the therapeutic effect of percutaneous bal oon kyphoplasty on osteoporotic vertebral fracture, and to explore the main point of injecting bone cement.
METHODS:A total of 22 patients with osteoporotic vertebral fracture at the age of 60-78 years underwent percutaneous bal oon kyphoplasty under C-arm fluoroscopy. In accordance with the standards of WHO, antalgic effects were evaluated. The injection time, manner and dose of bone cement were analyzed.
RESULTS AND CONCLUSION:Al patients were fol owed up for 1-12 months. Postoperative pain was completely lessened in 15 patients, and partial y relieved in 7 cases, with an effective rate of 100%. Spinal mobility increased. No incision surgery was needed in al patients. No complications such as pulmonary embolism or nerve injury appeared. These results indicate that percutaneous bal oon kyphoplasty for treatment of osteoporotic vertebral fractures is minimal y invasive and simple, has less complication and effectively reconstructs vertebral body strength, and can better al eviate the pain, is an effective minimal y invasive spinal treatment technology. To strictly understand the main treatment point can obtain satisfactory clinical curative effects, including precise diagnosis of the disease, identification whether patient’s pain is induced by fractures, preoperative intraoperative exact localization of the affected vertebra, perfect puncturing technique, suitable postoperative treatment and nursing. It is also important to strictly master the time of injecting bone cement and the dose of bone cement. Bone cement injection was commonly done in drawing-wire stage. Too early injection easily induced leakage and toxic reaction. Too late injection affected the expansion of bone cement and therapeutic effects. The injection of bone cement should be finished under a perspective environment, which can effectively avoid bone cement leakage.
