椎体成形术中椎体内骨水泥特性与疼痛缓解程度关系的研究进展

Association between degree of pain relief and characteristics of bone cement in the fractured vertebrae during vertebroplasty — a review

摘要:

骨质疏松性椎体压缩性骨折(OVCF)是骨质疏松症最常见的并发症之一,多见于老年人脆性骨折。从传统的保守治疗、开放性手术到如今的微创手术阶段,椎体成形术因其安全、高效及微创特性成为OVCF的重要治疗手段。骨水泥在椎体内的特性对OVCF患者术后疼痛的缓解起着极其关键的作用。现就骨水泥在椎体内的注入量、弥散情况、分布形态及黏稠度对患者术后疼痛缓解程度关系作一综述,为临床实践提供参考。

Abstract:

Osteoporotic vertebral compression fracture (OVCF) is one of the fragile fractures often occurring in the elderly. Vertebroplasty has become the most important treatment for OVCF because of its safety, effectiveness and minimal invasiveness, and it has been employed clinically and accepted by most patients. Bone cement is injected in the fractured vertebral bodies, and its characteristics are great of importance for the pain relief. This paper reviewed four characteristics that related research has focused over the last years, namely the injected volume, dispersion, distribution patterns, and cement viscosity.