[Percutaneous cementing techniques of the spine -- chances and limits].
Vertebroplasty and Kyphoplasty represent minimal-invasive techniques for cement augmentation of vertebral bodies. Both procedures are successfully used for pain-relieving stabilizations of osteoporotic fractures or malignant processes. Advantages of kyphoplasty over vertebroplasty are to be seen in the possibility of deformity correction as well as in a decreased risk of cement extrusions which represent the most important potential for clinical complications. Long-term experiences with the effect of cementing are sparse. Thus it seems even more important, to judge indications and possibilities realistically. The decision whether and when to perform an augmentation is influenced by multiple factors. These include age of the patient, age of the fracture, degree of deformation and further degenerative changes of the spine. This article summarizes the present research and literature und is thought to provide guidelines for the aforementioned decision making processes.
Berlemann
U
U
Klinik für Unfallchirurgie, Medizinische Hochschule Hannover. uberlemann@hotmail.com
Müller
C W
CW
Krettek
C
C
D000367:Age Factors; D001843:Bone Cements / Q000627:therapeutic use; D002908:Chronic Disease; D015299:Discitis / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery; D006391:Hemangioma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007738:Kyphosis / Q000209:etiology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D019637:Orthopedic Procedures / Q000379:methods; D010024:Osteoporosis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D019904:Polymethyl Methacrylate / Q000008:administration & dosage*; D012307:Risk Factors; D016103:Spinal Fractures / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D013131:Spine / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D001843:Bone Cements; D019904:Polymethyl Methacrylate