骨质疏松性胸腰椎骨折椎体强化术后并发骨水泥渗漏的若干问题

Some issues in cement leakage after vertebral augmentation for osteoporotic thoracolumbar fracture

随着椎体强化术在骨质疏松性胸腰椎骨折(OTLF)治疗中的广泛应用,骨水泥渗漏这一并发症越来越受到关注。虽然多数骨水泥渗漏无明显临床症状,但仍有部分患者会出现椎体骨折、肺栓塞、脊髓神经受压等严重并发症。骨水泥渗漏与患者自身因素、骨水泥因素及围术期相关因素等密切相关。因此,临床上明确骨水泥渗漏危险因素并采取针对性措施来预防,对提高临床疗效及手术安全性具有重要指导意义。为此,笔者对骨水泥渗漏的相关危险因素及预防措施进行讨论,为降低骨水泥渗漏发生率提供参考。

With the large use of vertebral augmentation in the treatment of osteoporotic thoracolumbar fracture(OTLF),the complication of cement leakage has become an increasing concern.Although most cement leakage has no obvious clinical symptoms,some patients still sustain serious complications such as vertebral fracture,pulmonary embolism and spinal nerve compression.Cement leakage is closely related to patients′own factors,cement factors and perioperative related factors.To clarify the risk factors of cement leakage with implementation of preventive measures accordingly is of great guiding significance to improve the clinical efficacy and surgical safety.Therefore,the authors discuss bone cement leakage in aspects of the risk factors and preventive measures so as to provide a reference for reducing the incidence of cement leakage.