Kummell病椎体强化术后邻椎骨折危险因素的研究进展

Research Progress on Risk Factors of Adjacent Vertebral Fracture after Vertebral Augmentation for Kummell Disease

椎体强化术由于其微创,安全,患者术后疼痛缓解明显,已经成为治疗Kummell病的首选方案,但强化椎的相邻椎体新发骨折临床上也不少见,关于其发生的机制,医学界尚没有一个相对统一的定论。综合来说,目前认为骨水泥注射方式、骨水泥渗漏、初始伤椎节段定位、脊柱矢状面失衡、骨质疏松、高龄、性别、体重指数等因素均可能导致相邻椎体新发骨折。但采取的研究方法不同,导致得到的结论也大相径庭,各种研究结论都存在或多或少的争议,针对近年来Kummell病椎体强化术后邻椎骨折的相关研究报道进行综述。

Vertebral augmentation has become the first choice for Kummell’s disease because of its minimally invasive, safe and obvious postoperative pain relief. However, new vertebral fractures in adjacent vertebrae of the reinforced vertebra are also quite common clinically, and the medical community still has not reached a relatively unified conclusion on the occurrence mechanism. Generally speaking,, it is considered that bone cement injection, bone cement leakage, initial injured vertebral segment positioning, spinal sagittal imbalance, osteoporosis, advanced age, gender, body mass index and other factors may lead to new fractures of adjacent vertebral bodies. However, different research methods lead to different conclusions. There are more or less disputes in various research conclusions. In this paper, the related research reports of Kummell disease after vertebral augmentation surgery in recent years were reviewed.