통증을 유발하는 골다공증성 척추골절의 최소 침습적 치료 (Minimally Invasive Treatment of Painful Osteoporotic Vertebral Fractures)

서지정보

· 발행기관 : 대한의사협회
· 수록지 정보 : 대한의사협회지 / 52권 / 4호 / 382 ~ 392페이지
· 저자명 : 이재협, 이지호

초록

The consequences of osteoporotic vertebral compression fractures are pain, progressive
vertebral collapse with resultant kyphosis, and systemic manifestations. Minimally invasive
stabilization procedures such as vertebroplasty and balloon kyphoplasty have been introduced to
treat for refractory pain due to these fractures. Vertebroplasty and kyphoplasty are new
alternatives for the treatment of osteoporotic vertebral compression fractures. Both methods
stabilize the fractured vertebra with polymethylmethacrylate cement to relieve pain and allow
immediate mobilization. Kyphoplasty is an extension of vertebroplasty that uses an inflatable
bone tamp to restore the vertebral body height while creating a cavity to be filled with bone
cement. A large proportion of subjects had some pain relief both in vertebroplasty and
kyphoplasty. Vertebral height restoration was possible using kyphoplasty and for a subset of
patients using vertebroplasty. Cement leaks occurred in both groups but, the incidence of cement
leakage in kyphoplasty is lower than that of the vertebroplasty. Vertebroplasty and kyphoplasty
are safe and effective procedures. Good short-term results have been reported following both
vertebroplasty and kyphoplasty for the painful osteoporotic vertebral fractures. Severe
complications result from bone cement leakage into the spinal canal or the vascular system have
been reported but the incidence was very rare. Both vertebroplasty and kyphoplasty offer
therapeutic benefit significantly reducing pain and improving mobility in patients with vertebral
fracture without significant differences between groups in term of quality. While early results are
promising, more research is needed to better understand the log-term effects of both procedures
on the human spine.

영어초록

The consequences of osteoporotic vertebral compression fractures are pain, progressive
vertebral collapse with resultant kyphosis, and systemic manifestations. Minimally invasive
stabilization procedures such as vertebroplasty and balloon kyphoplasty have been introduced to
treat for refractory pain due to these fractures. Vertebroplasty and kyphoplasty are new
alternatives for the treatment of osteoporotic vertebral compression fractures. Both methods
stabilize the fractured vertebra with polymethylmethacrylate cement to relieve pain and allow
immediate mobilization. Kyphoplasty is an extension of vertebroplasty that uses an inflatable
bone tamp to restore the vertebral body height while creating a cavity to be filled with bone
cement. A large proportion of subjects had some pain relief both in vertebroplasty and
kyphoplasty. Vertebral height restoration was possible using kyphoplasty and for a subset of
patients using vertebroplasty. Cement leaks occurred in both groups but, the incidence of cement
leakage in kyphoplasty is lower than that of the vertebroplasty. Vertebroplasty and kyphoplasty
are safe and effective procedures. Good short-term results have been reported following both
vertebroplasty and kyphoplasty for the painful osteoporotic vertebral fractures. Severe
complications result from bone cement leakage into the spinal canal or the vascular system have
been reported but the incidence was very rare. Both vertebroplasty and kyphoplasty offer
therapeutic benefit significantly reducing pain and improving mobility in patients with vertebral
fracture without significant differences between groups in term of quality. While early results are
promising, more research is needed to better understand the log-term effects of both procedures
on the human spine.

참고자료

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