经皮椎体强化术不同入路方式综述
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摘要
经皮椎体强化术是一种安全、有效的微创手术,逐渐成为治疗骨质疏松性椎体骨折的首选治疗方式。其手术入路方式有多种,本文就目前常用入路方式的适应证及临床应用现状作一综述。
Percutaneous vertebral augmentation is a safe and effective minimally invasive surgical procedure that has become the preferred treatment for osteoporotic vertebral fractures. There are several approaches for this procedure. Their current indications and clinical application are reviewed in this article.
Percutaneous vertebral augmentation is a safe and effective minimally invasive surgical procedure that has become the preferred treatment for osteoporotic vertebral fractures. There are several approaches for this procedure. Their current indications and clinical application are reviewed in this article.
引文
1 Stevenson M,Gomersall T,Lloyd Jones M,et al.Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral fractures:a systematic review and costeffectiveness analysis[J].Health Technol Assess,2014,18(17):1-290.
2 Yun H,Delzell E,Saag KG,et al.Fractures and mortality in relation to different osteoporosis treatments[J].Clin Exp Rheumatol,2015,33(3):302-309.
3中国健康促进基金会骨质疏松防治中国白皮书编委会.骨质疏松症中国白皮书[J].中华健康管理学杂志,2009,3(3):148-154.
4 McConnell CT,Jr.,Wippold FJ,2nd,Ray CE,Jr.,et al.ACRappropriateness criteria management of vertebral compression fractures[J].J Am Coll Radiol,2014,11(8):757-763.
5 Garfin SR,Buckley RA,Ledlie J.Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid,significant,and sustained improvements in back pain,function,and quality of life for elderly patients[J].Spine(Phila Pa 1976),2006,31(19):2213-2220.
6 Kim BS,Hum B,Park JC,et al.Retrospective review of procedural parameters and outcomes of percutaneous vertebroplasty in 673patients[J].Interv Neuroradiol,2014,20(5):564-575.
7 Bouza C,Lopez-Cuadrado T,Almendro N,et al.Safety of balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures in Europe:a meta-analysis of randomized controlled trials[J].Eur Spine J,2015,24(4):715-723.
8 Yang EZ,Xu JG,Huang GZ,et al.Percutaneous Vertebroplasty Versus Conservative Treatment in Aged Patients With Acute Osteoporotic Vertebral Compression Fractures:A Prospective Randomized Controlled Clinical Study[J].Spine(Phila Pa 1976),2016,41(8):653-660.
9 Edidin AA,Ong KL,Lau E,et al.Mortality risk for operated and nonoperated vertebral fracture patients in the medicare population[J].J Bone Miner Res,2011,26(7):1617-1626.
10 Edidin AA,Ong KL,Lau E,et al.Morbidity and Mortality After Vertebral Fractures:Comparison of Vertebral Augmentation and Nonoperative Management in the Medicare Population[J].Spine(Phila Pa 1976),2015,40(15):1228-1241.
11 Jensen ME,Evans AJ,Mathis JM,et al.Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures:technical aspects[J].AJNRAm J Neuroradiol,1997,18(10):1897-1904.
12 Foo LS,Yeo W,Fook S,et al.Results,experience and technical points learnt with use of the SKy Bone Expander kyphoplasty system for osteoporotic vertebral compression fractures:a prospective study of 40 patients with a minimum of 12 months of follow-up[J].Eur Spine J,2007,16(11):1944-1950.
13 Zheng Z,Luk KD,Kuang G,et al.Vertebral augmentation with a novel Vessel-X bone void filling container system and bioactive bone cement[J].Spine(Phila Pa 1976),2007,32(19):2076-2082.
14 Bornemann R,Roessler PP,Rommelspacher Y,et al.The Vertect Jack Device:A new method for augmentation of vertebral fractures.Clinical study with comparisons to kyphoplasty[J].Technol Health Care,2017,25(4):739-747.
15 Werdofa DM,Lewis G.Direct and interactive influence of explanatory variables on properties of a calcium phosphate cement for vertebral body augmentation[J].J Mater Sci Mater Med,2014,25(1):55-66.
16 Pua U,Quek LH,Ng LC.Central stentoplasty:technique for unipedicular single midline vertebral body stent implantation[J].Cardiovasc Intervent Radiol,2014,37(3):810-814.
17 Soon WC,Mathew RK,Timothy J.Comparison of vertebroplasty using directional versus straight needle[J/OL].http://europepmc.org/abstract/MED/25815210.
18刘小勇,杨惠林,唐天驷,等.椎体后凸成形术棘突定位穿刺点与穿刺轨道的研究[J].中华骨科杂志,2005,25(8):462-466.
19 Yang HL,Zhao L,Liu J,et al.Changes of pulmonary function for patients with osteoporotic vertebral compression fractures after kyphoplasty[J].J Spinal Disord Tech,2007,20(3):221-225.
20 Chen B,Li Y,Xie D,et al.Comparison of unipedicular and bipedicular kyphoplasty on the stiffness and biomechanical balance of compression fractured vertebrae[J].Eur Spine J,2011,20(8):1272-1280.
21 Rebolledo BJ,Gladnick BP,Unnanuntana A,et al.Comparison of unipedicular and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures:a prospective randomised study[J].Bone Joint J,2013,95-b(3):401-406.
22 Zhang L,Liu Z,Wang J,et al.Unipedicular versus bipedicular percutaneous vertebroplasty for osteoporotic vertebral compression fractures:a prospective randomized study[J].BMC Musculoskelet Disord,2015,16:145.
23 Li YX,Guo DQ,Zhang SC,et al.Risk factor analysis for re-collapse of cemented vertebrae after percutaneous vertebroplasty(PVP)or percutaneous kyphoplasty(PKP)[J].Int Orthop,2018,42(9):2131-2139.
24 Ge Z,Ma R,Chen Z,et al.Uniextrapedicular kyphoplasty for the treatment of thoracic osteoporotic vertebral fractures[J].Orthopedics,2013,36(8):e1020-e1024.
25吴溢峰,钟姣红,吴焯鹏,等.3种不同入路经皮椎体成形术治疗胸腰段椎体压缩性骨折的疗效比较[J].中国微创外科杂志,2018,18(7):611-615.
26钟睿,刘道德,王传恩,等.单侧入路后凸成形术治疗胸腰椎压缩骨折47例[J].四川解剖学杂志,2014,22(2):14-18.
27 Yan L,Jiang R,He B,et al.A comparison between unilateral transverse process-pedicle and bilateral puncture techniques in percutaneous kyphoplasty[J].Spine(Phila Pa 1976),2014,39(26Spec No.):B19-B26.
28 Yan L,He B,Guo H,et al.The prospective self-controlled study of unilateral transverse process-pedicle and bilateral puncture techniques in percutaneous kyphoplasty[J].Osteoporos Int,2016,27(5):1849-1855.
29 Hunt CH,Kallmes DF,Thielen KR.A unilateral vertebroplasty approach using a curved injection cannula for directed,site-specific vertebral body filling[J].J Vasc Interv Radiol,2009,20(4):553-555.
30 Saxena A,Hakimelahi R,Jha RM,et al.The safety and effectiveness of a curved needle for vertebral augmentation:comparison with traditional techniques[J].J Vasc Interv Radiol,2010,21(10):1548-1553.
31张大鹏,强晓军,杨光.应用弯角装置单侧穿刺行PVP治疗骨质疏松性胸腰椎压缩骨折的疗效分析[J].中国脊柱脊髓杂志,2017,27(7):599-604.
32林玉江,林茜,杨利民,等.弯角椎体成形术治疗胸腰椎骨质疏松性椎体压缩骨折的疗效分析[J].中国脊柱脊髓杂志,2017,27(5):423-428.
33钟睿,姜威,熊森,等.单侧弯角与直行人路椎体成形治疗骨质疏松性椎体压缩骨折疗效的对照研究[J].中华创伤杂志,2018,34(2):102-108.
34方国芳,吴子祥,樊勇,等.Renaissance脊柱机器人辅助手术系统在脊柱疾病中的应用[J].中华创伤骨科杂志,2017,1 9(4):299-303.
35贾硕,李建哲,王镝,等.微辐射技术在导航引导经皮椎体成形术中的应用[J].中国老年学杂志,2017,37(5):1198-1200.
36张凡,杨惠林,管华清.经皮椎体后凸成形分次和温度梯度灌注骨水泥治疗胸腰椎转移性肿瘤[J].中国组织工程研究,2014,18(26):4206-4211.
37张伟,杨金华,黄开,等.PKP与高粘度骨水泥PVP治疗骨质疏松性椎体压缩骨折的疗效比较[J].中国骨与关节损伤杂志,2017,32(11):1138-1140.
38银和平,白明.遥控骨水泥推注装置在经皮球囊扩张椎体后凸成形术中的应用[J].中国骨与关节损伤杂志,2014,29(1):36-37.
2 Yun H,Delzell E,Saag KG,et al.Fractures and mortality in relation to different osteoporosis treatments[J].Clin Exp Rheumatol,2015,33(3):302-309.
3中国健康促进基金会骨质疏松防治中国白皮书编委会.骨质疏松症中国白皮书[J].中华健康管理学杂志,2009,3(3):148-154.
4 McConnell CT,Jr.,Wippold FJ,2nd,Ray CE,Jr.,et al.ACRappropriateness criteria management of vertebral compression fractures[J].J Am Coll Radiol,2014,11(8):757-763.
5 Garfin SR,Buckley RA,Ledlie J.Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid,significant,and sustained improvements in back pain,function,and quality of life for elderly patients[J].Spine(Phila Pa 1976),2006,31(19):2213-2220.
6 Kim BS,Hum B,Park JC,et al.Retrospective review of procedural parameters and outcomes of percutaneous vertebroplasty in 673patients[J].Interv Neuroradiol,2014,20(5):564-575.
7 Bouza C,Lopez-Cuadrado T,Almendro N,et al.Safety of balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures in Europe:a meta-analysis of randomized controlled trials[J].Eur Spine J,2015,24(4):715-723.
8 Yang EZ,Xu JG,Huang GZ,et al.Percutaneous Vertebroplasty Versus Conservative Treatment in Aged Patients With Acute Osteoporotic Vertebral Compression Fractures:A Prospective Randomized Controlled Clinical Study[J].Spine(Phila Pa 1976),2016,41(8):653-660.
9 Edidin AA,Ong KL,Lau E,et al.Mortality risk for operated and nonoperated vertebral fracture patients in the medicare population[J].J Bone Miner Res,2011,26(7):1617-1626.
10 Edidin AA,Ong KL,Lau E,et al.Morbidity and Mortality After Vertebral Fractures:Comparison of Vertebral Augmentation and Nonoperative Management in the Medicare Population[J].Spine(Phila Pa 1976),2015,40(15):1228-1241.
11 Jensen ME,Evans AJ,Mathis JM,et al.Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures:technical aspects[J].AJNRAm J Neuroradiol,1997,18(10):1897-1904.
12 Foo LS,Yeo W,Fook S,et al.Results,experience and technical points learnt with use of the SKy Bone Expander kyphoplasty system for osteoporotic vertebral compression fractures:a prospective study of 40 patients with a minimum of 12 months of follow-up[J].Eur Spine J,2007,16(11):1944-1950.
13 Zheng Z,Luk KD,Kuang G,et al.Vertebral augmentation with a novel Vessel-X bone void filling container system and bioactive bone cement[J].Spine(Phila Pa 1976),2007,32(19):2076-2082.
14 Bornemann R,Roessler PP,Rommelspacher Y,et al.The Vertect Jack Device:A new method for augmentation of vertebral fractures.Clinical study with comparisons to kyphoplasty[J].Technol Health Care,2017,25(4):739-747.
15 Werdofa DM,Lewis G.Direct and interactive influence of explanatory variables on properties of a calcium phosphate cement for vertebral body augmentation[J].J Mater Sci Mater Med,2014,25(1):55-66.
16 Pua U,Quek LH,Ng LC.Central stentoplasty:technique for unipedicular single midline vertebral body stent implantation[J].Cardiovasc Intervent Radiol,2014,37(3):810-814.
17 Soon WC,Mathew RK,Timothy J.Comparison of vertebroplasty using directional versus straight needle[J/OL].http://europepmc.org/abstract/MED/25815210.
18刘小勇,杨惠林,唐天驷,等.椎体后凸成形术棘突定位穿刺点与穿刺轨道的研究[J].中华骨科杂志,2005,25(8):462-466.
19 Yang HL,Zhao L,Liu J,et al.Changes of pulmonary function for patients with osteoporotic vertebral compression fractures after kyphoplasty[J].J Spinal Disord Tech,2007,20(3):221-225.
20 Chen B,Li Y,Xie D,et al.Comparison of unipedicular and bipedicular kyphoplasty on the stiffness and biomechanical balance of compression fractured vertebrae[J].Eur Spine J,2011,20(8):1272-1280.
21 Rebolledo BJ,Gladnick BP,Unnanuntana A,et al.Comparison of unipedicular and bipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures:a prospective randomised study[J].Bone Joint J,2013,95-b(3):401-406.
22 Zhang L,Liu Z,Wang J,et al.Unipedicular versus bipedicular percutaneous vertebroplasty for osteoporotic vertebral compression fractures:a prospective randomized study[J].BMC Musculoskelet Disord,2015,16:145.
23 Li YX,Guo DQ,Zhang SC,et al.Risk factor analysis for re-collapse of cemented vertebrae after percutaneous vertebroplasty(PVP)or percutaneous kyphoplasty(PKP)[J].Int Orthop,2018,42(9):2131-2139.
24 Ge Z,Ma R,Chen Z,et al.Uniextrapedicular kyphoplasty for the treatment of thoracic osteoporotic vertebral fractures[J].Orthopedics,2013,36(8):e1020-e1024.
25吴溢峰,钟姣红,吴焯鹏,等.3种不同入路经皮椎体成形术治疗胸腰段椎体压缩性骨折的疗效比较[J].中国微创外科杂志,2018,18(7):611-615.
26钟睿,刘道德,王传恩,等.单侧入路后凸成形术治疗胸腰椎压缩骨折47例[J].四川解剖学杂志,2014,22(2):14-18.
27 Yan L,Jiang R,He B,et al.A comparison between unilateral transverse process-pedicle and bilateral puncture techniques in percutaneous kyphoplasty[J].Spine(Phila Pa 1976),2014,39(26Spec No.):B19-B26.
28 Yan L,He B,Guo H,et al.The prospective self-controlled study of unilateral transverse process-pedicle and bilateral puncture techniques in percutaneous kyphoplasty[J].Osteoporos Int,2016,27(5):1849-1855.
29 Hunt CH,Kallmes DF,Thielen KR.A unilateral vertebroplasty approach using a curved injection cannula for directed,site-specific vertebral body filling[J].J Vasc Interv Radiol,2009,20(4):553-555.
30 Saxena A,Hakimelahi R,Jha RM,et al.The safety and effectiveness of a curved needle for vertebral augmentation:comparison with traditional techniques[J].J Vasc Interv Radiol,2010,21(10):1548-1553.
31张大鹏,强晓军,杨光.应用弯角装置单侧穿刺行PVP治疗骨质疏松性胸腰椎压缩骨折的疗效分析[J].中国脊柱脊髓杂志,2017,27(7):599-604.
32林玉江,林茜,杨利民,等.弯角椎体成形术治疗胸腰椎骨质疏松性椎体压缩骨折的疗效分析[J].中国脊柱脊髓杂志,2017,27(5):423-428.
33钟睿,姜威,熊森,等.单侧弯角与直行人路椎体成形治疗骨质疏松性椎体压缩骨折疗效的对照研究[J].中华创伤杂志,2018,34(2):102-108.
34方国芳,吴子祥,樊勇,等.Renaissance脊柱机器人辅助手术系统在脊柱疾病中的应用[J].中华创伤骨科杂志,2017,1 9(4):299-303.
35贾硕,李建哲,王镝,等.微辐射技术在导航引导经皮椎体成形术中的应用[J].中国老年学杂志,2017,37(5):1198-1200.
36张凡,杨惠林,管华清.经皮椎体后凸成形分次和温度梯度灌注骨水泥治疗胸腰椎转移性肿瘤[J].中国组织工程研究,2014,18(26):4206-4211.
37张伟,杨金华,黄开,等.PKP与高粘度骨水泥PVP治疗骨质疏松性椎体压缩骨折的疗效比较[J].中国骨与关节损伤杂志,2017,32(11):1138-1140.
38银和平,白明.遥控骨水泥推注装置在经皮球囊扩张椎体后凸成形术中的应用[J].中国骨与关节损伤杂志,2014,29(1):36-37.