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Filler Materials Used in Kyphoplasty and Vertebroplasty for Osteoporotic Vertebral Compression Fractures

机译:骨质疏松性椎体压缩性骨折的后凸成形术和椎体成形术中使用的填充材料

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Osteoporosis is the most common metabolic bone disease and the most common cause of fractures in older adults.Vertebral compression fracture (VCF) is the most common complication in patients with osteoporosis.At present,vertebroplasty (VP) and kyphoplasty (KP) are two minimally invasive techniques used to treat osteoporotic vertebral compression fractures.In clinical use,KP and VP have stable and reliable therapeutic effects.However,there are still some complications and issues surrounding KP and VP application,and for long-term clinical follow-up.Thus,it is important to continue to improve the technology of the filler materials used in KP and VP in order to evolve the biomechanical characteristics of the postoperative vertebra,and to reduce the incidence of complications.The filler materials used for both techniques require good biocompatibility,good biomechanical strength and stiffness,and good radiopacity for the fluoroscopy guided procedures.PMMA and new filler materials (calcium phosphate cement,calcium sulfate cement,composite materials) are now available for clinical use.In this review paper,we will focus on the issues and characteristics of these filler materials.
机译:骨质疏松症是老年人最常见的代谢性骨病,也是骨折的最常见原因。椎骨压缩性骨折(VCF)是骨质疏松症患者最常见的并发症。目前,椎体成形术(VP)和后凸成形术(KP)最少骨质疏松性椎体压缩性骨折的一种侵入性技术。在临床使用中,KP和VP具有稳定可靠的治疗效果。然而,KP和VP的应用仍存在一些并发症和问题,需要长期的临床随访。因此,重要的是继续改进KP和VP中使用的填充材料的技术,以发展术后椎骨的生物力学特性,并减少并发症的发生。这两种技术使用的填充材料都需要良好的生物相容性,良好的生物力学强度和刚度,并在透视检查指导程序中具有良好的不透射线性。PMMA和新型填充材料(钙p甲酸盐水泥,硫酸钙水泥,复合材料)现已可供临床使用。在本文中,我们将重点探讨这些填充材料的问题和特性。

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