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

机译:用于骨质疏松椎体压缩骨折的脑脊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 kyphopiasty (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:骨质疏松症是最常见的代谢骨病和老年人骨折最常见的原因。椎体压缩骨折(VCF)是骨质疏松症患者中最常见的并发症。目前,椎体成形术(VP)和脑脊液(KP)是用于治疗骨质疏松椎体压缩骨折的两种微创技术。在临床使用中,KP和VP具有稳定且可靠的治疗效果。但是,仍存在一些并发症和围绕KP和VP应用的问题,以及长期临床随访。因此,重要的是继续改善KP和VP中使用的填充材料的技术,以便演变术后椎骨的生物力学特性,并降低并发症的发生率。用于两种技术的填充材料需要良好的生物相容性,良好的生物力学强度和刚度,以及透视导向程序的良好辐射性。 PMMA和新的填充材料(磷酸钙水泥,硫酸钙水泥,复合材料)现在可用于临床用途。在本综述论文中,我们将专注于这些填充材料的问题和特征。

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