지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 200 - 206 (7page)
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초록· 키워드
오류제보하기
Objective: Percutaneous vertebroplasty (VP) has been used for the safe treatment ofosteoporotic compression fracture. However, cement leakage is the most commoncomplication. To reduce the leakage of bone cement, we did the gelfoam embolization duringVP. The purpose of this study is to compare the safety and feasibility of different two gelfoamembolization technique during VP. Methods: Total 127 patients (146 level) who had the thoracolumbar osteoporotic compressionfracture were enrolled. Group A was treated by gelfoam-only technique and, Group B wastreated by gelfoam with venography technique. We compared the incidence of bone cementleakage between two groups using post-operative computed tomography scan and X-ray. Results: Seventy-four patients (81 levels) were treated with gelfoam-only technique (A), and53 patients (65 levels) were treated with gelfoam with venography technique (B). There were22 leakages on group A, and 19 leakages on group B. There was no statistical signifcantdifference between two groups (Chi-square test, p-value =0.958). Incidence of leakage tospinal canal was 11 levels in Group A, 3 levels in group B, and there was statistical signifcantdifference (Fisher's exact test, p-value=0.027). Conclusion: Complication induced by the bone cement leakage are the most careful pointduring VP. Gelfoam embolization with venography is very easy and safe method. Gelfoamwith venography technique could make lower the incidence of cement leakage to spinal canal.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Amar AP / 2001 / Percutaneous transpedicular polymethylmethacrylate vertebroplasty for the treatment of spinal compression fractures / Neurosurgery 49:1105~1114
Bhatia C / 2006 / Cement leakage in percutaneous vertebroplasty : effect of preinjection gelfoam embolization / Spine 31:915~919
Cortet B / 1997 / Percutaneous vertebroplasty in patients with osteolytic metastases or multiple myeloma / Rev Rhum Engl Ed 64:177~183
Cortet B / 1999 / Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures : an open prospective study / J Rheumatol 26:2222~2228
Cotten A / 1996 / Percutaneous vertebroplasty for osteolytic metastases and myeloma : effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up / Radiology 200:525~530
Bhatia C / 2006 / Cement leakage in percutaneous vertebroplasty : effect of preinjection gelfoam embolization / Spine 31:915~919
Cortet B / 1997 / Percutaneous vertebroplasty in patients with osteolytic metastases or multiple myeloma / Rev Rhum Engl Ed 64:177~183
Cortet B / 1999 / Percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures : an open prospective study / J Rheumatol 26:2222~2228
Cotten A / 1996 / Percutaneous vertebroplasty for osteolytic metastases and myeloma : effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up / Radiology 200:525~530
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