SOME TECHNICAL DIFFICULTIES AND WAYS OF THEIR OVERCOMING DURING VERTEBROPLASTY DEVELOPMENT

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Vertebroplasty was performed in 8 women in the age of from 43 till 80 years. The indication to intervention in one case was metastatic involvement, in four cases - osteoporotic vertebral fractures; to three patients vertebroplasty was performed in occasion of vertebral body gemangioma. The results of this study revealed, that for increase of safety the authors recommend to carry out the vertebroplasty under local anesthesia at presence of an anesthesiologist for possible additional intravenous anesthesia. The safest from the point of view of extravertebral distributions of cement is transpedicular access; flebospondylography does not allow predicting reliably distribution of cement in view of significant distinction of physical and chemical properties of entered substances however can be used for a tentative estimation of venous outflow at tumor process in vertebral bodies.

作者简介

D. Astapenkov

ГОУ ВПО «Челябинская государственная медицинская академия Министерства здравоохранения и социального развития»

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Email: astapenkov@mail.ru
к.м.н., ассистент кафедры травматологии, ортопедии и военно-полевой хирургии 俄罗斯联邦

参考

  1. Дуров О. В. Вертебропластика при лечении заболеваний позвоночника/О. В. Дуров, И. Н. Шевелев, Т. П. Тиссен//Вопросы нейрохирургии им. Н.Н.Бурденко. -2004. -№ 2. -С. 21-26.
  2. Acute osteoporotic vertebral collapse: open study on percutaneous injection of acrylic surgical cement in 20 patients/C. D. Cyteval [et al.]//Am. J. Roentgenol. -1999. -Vol. 173 N 6. -P. 1685-1690.
  3. Mehbod A. J. Vertebroplasty for osteoporotic spine fracture: prevention and treatment/A. J. Mehbod, S. A. Aunodle, J. C. Le Huec//Eur. Spine J. -2003. -Vol. 12,suppl.2. -P. 155-162.
  4. Percutaneous vertebroplasty for pain relief and spinal stabilization/J. D. Barr [et al.]//Spine. -2000. -Vol. 25 N 8. -P. 923-928.
  5. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects/M. E. Jensen [et al.]//AJNR. -1997. -Vol. 18 N 10. -P. 1897-1904.

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