Biomechanics of the human intervertebral disc: A review of testing techniques and results. J Mech Behav Biomed Mater. Anatomy and biomechanics of the spinal column and cord. Hand Clin Neurol.
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Percutaneous vertebroplasty. Instituto de Neurociencias. Universidad de Guadalajara. Guadalajara, Jalisco. Recibido: 9 junio Aceptado: 23 junio Percutaneous vertebroplasty is a minimally invasive procedure that uses a bonecutting needle to percutaneously approach a partially collapsed vertebral body, to inject bone cement with the aim to relief pain, as well as stabilize and reinforce the remaining bone structure.
The procedure was initially used to treat aggressive hemangiomas, myeloma and osteolytic metastases, but it is currently employed either in osteoporotic compression fractures refractory to medical therapy or traumatic fractures. It has been reported that percutaneous vertebroplasty is useful to relieve pain, improving mobilization, and to reduce or even eliminate analgesic drugs requirements, improving so the quality of life. Although this is a nonfree complications procedure, the appropriate patient selection and a thorough technique could make that the benefits surpass the potential risks.
Key words: percutaneous vertebroplasty, spinal compression fractures, osteoporosis, metastasic spinal disease. Agregado al dolor, puede estar asociada inestabilidad en la columna vertebral 9. Ninguna de estas modalidades de tratamiento es efectiva de forma constante para el alivio del dolor o para mejorar el status ambulatorio.
Durante este lapso, se puede realizar una TC de columna como control posprocedimiento 12, Aunque por lo general es inmediato, el alivio del dolor puede tomar hasta 72 horas 2, En el examen de seguimiento a dos y medio meses, la paciente se mantuvo libre de dolor dorsal.
Se han investigado materiales osteoconductivos como el exoesqueleto de coral, y otros minerales sustitutos de hueso biodegradables que se reabsorben conforme el hueso se remodela 2.
Vertebroplasty in the treatment of vertebral tumors: postprocedural outcome and quality of life. Management of acute osteoporotic vertebral fractures: a nonrandomized trial comparing percutaneous vertebroplasty with conservative therapy. Efficacy of percutaneous vertebroplasty in the treatment of intravertebral pseudarthrosis associated with noninfected avascular necrosis of the vertebral body.
Vertebroplasty in focal Paget disease of the spine. Case report. Ledlie JT, Renfo M. Percutaneous vertebroplasty: an emerging therapy for vertebral compression fractures. Vertebroplasty for osteoporotic compression fractures: current practice and evolving techniques. Society of interventional radiology quality improvement guidelines for percutaneous vertebroplasty. Diagnosis and management of vertebral fractures in elderly adults.
Phillips FM. Minimally invasive treatments of osteoporotic vertebral compression fractures. Neurosurgery Focus ; 11 6. Percutaneous transpedicular vertebroplasty with calcium phosphate cement in the treatment of osteoporotic vertebral compression and burst fractures.
Percutaneous vertebroplasty: New treatment for vertebral compression fractures. Optimizing patient selection in percutaneous vertebroplasty. Painful osteolytic metastasis of the atlas: treatment with percutaneous vertebroplasty. Percutaneous vertebroplasty for severe osteoporotic vertebral body compression fractures.
Age of fracture and clinical outcomes of percutaneous vertebroplasty. Percutaneous vertebroplasty: treatment of painful vertebral compression fractures with intraosseous vacuum phenomena. Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients.
The therapeutic benefit of repeat percutaneous vertebroplasty at previously treated vertebral levels. Occurrence of new vertebral body fracture after percutaneous vertebroplasty in patients with osteoporosis. Extending polymerization time of polymethylmethacrylate cement in percutaneous vertebroplasty with ice bath cooling. Deramond H, Mathis JM. Vertebroplasty in osteoporosis. An experimental study in sheep. Radicular pain after vertebroplasty: compression or irritation of the nerve root?
Initial experience with the "Cooling System". Paraplegia as a complication of percutaneous vertebroplasty with polymethylmethacrylate: a case report. Volumetric quantification of cement leakage following percutaneous vertebroplasty in metastatic and osteoporotic vertebrae.
Mathis JM, Wong W. Percutaneous vertebroplasty: technical considerations. The effect of vertebral body percentage fill on mechanical behavior during percutaneous vertebroplasty. Percutaneous vertebroplasty: indications, technique, and results.
Radiographics ;23 2 :e Kruger R, Faciszewski T. Radiation dose reduction to medical staff during vertebroplasty: a review of techniques and methods to mitigate occupational dose. An in vivo comparison of the potential for extravertebral cement leak after vertebroplasty and kiphoplasty. Increase in vertebral body height after vertebroplasty. Servicios Personalizados Revista. Similares en SciELO.
ABSTRACT Percutaneous vertebroplasty is a minimally invasive procedure that uses a bonecutting needle to percutaneously approach a partially collapsed vertebral body, to inject bone cement with the aim to relief pain, as well as stabilize and reinforce the remaining bone structure. Insurgentes Sur , Col.
Biomecanica de La Columna Vertebral