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首页> 外文期刊>Open Journal of Urology >Adjacent Level Vertebral Fractures in Patients Operated with Percutaneous Vertebroplasty
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Adjacent Level Vertebral Fractures in Patients Operated with Percutaneous Vertebroplasty

机译：经皮椎体成形术患者的邻近水平椎体骨折

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摘要

Percutaneous vertebroplasty is a minimally invasive procedure that involves filling of a fractured vertebral body with bone cement to relieve pain and to restore the vertebral height. It is a safe and effective treatment and is widely used for treating Osteoporotic Vertebral Compression Fracture. Despite of its beneficial advantages over primary conservative managements, adjacent level vertebral compression fracture remains the challenge for surgeons. Adjacent level vertebral compression fracture following percutaneous vertebroplasty using PMMA cement has been reported as a complication. Numerous risk factors have been reported for the occurrence of new adjacent VCFs after PVP. The multiple level osteoporotic vertebral compression fractures and the increasing age of the patients are directly proportional to the risk of developing new symptomatic adjacent vertebral compression fracture after PVP. Moreover, low BMD and cement leakage are other factors that directly affect the incidence of new symptomatic adjacent vertebral fractures. The aim of this review is to evaluate the adjacent level vertebral compression fracture following percutaneous vertebroplasty on the basis of radiographs, Kaplan-Meier Estimation index and also the factors that lead to adjacent level vertebral compression fractures.
机译：经皮椎体成形术是一种微创手术，包括用骨水泥填充骨折的椎体，以减轻疼痛和恢复椎体高度。它是一种安全有效的治疗方法，被广泛用于治疗骨质疏松性椎体压缩性骨折。尽管与传统的保守治疗相比，它具有有益的优势，但是相邻的椎体压缩性骨折仍然是外科医生面临的挑战。据报道，使用PMMA水泥经皮椎体成形术后发生邻近水平的椎体压缩性骨折是一种并发症。据报道，在PVP后出现新的相邻VCF的危险因素很多。多级骨质疏松性椎体压缩性骨折和患者年龄的增长与PVP后发生新的症状性邻近椎体压缩性骨折的风险成正比。此外，低骨密度和水泥渗漏是直接影响新的症状性邻近椎体骨折发生率的其他因素。这篇综述的目的是根据X光片，Kaplan-Meier估计指数以及导致邻近水平椎体压缩性骨折的因素，评估经皮椎体成形术后邻近水平椎体压缩性骨折。

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