摘要
背景:经皮椎体后凸成形在椎体压缩性骨折的微创治疗上取得突破性的意义,但也有不足之处,如骨水泥渗漏、椎体高度恢复有限、邻近椎体再骨折风险增高等。近年来,各种脊柱植入物不断问世,在经皮椎体后凸成形术中应用治疗椎体压缩性骨折取得较好的临床疗效,同时有利于减少传统经皮椎体后凸成形导致的并发症。目的:叙述各种脊柱植入物的种类和特点,探讨它们在经皮椎体后凸成形过程中的临床应用。方法:应用计算机检索CNKI数据库、PubMed数据库及Elsevier数据库中收录的相关文献,中文检索词为“经皮椎体后凸成形术,脊柱植入物,椎体支架,椎体压缩性骨折”,英文检索词为“percutaneous kyphoplasty,Spinal implants,vertebral stents,vertebral compression fractures”。查阅2000年1月至2019年6月收录的相关文章,包括综述、基础研究及临床研究,通过阅读文题和摘要进行初步筛选,排除与文章主题相关度低的文献,根据纳入标准和排除标准,最终纳入62篇文献进行结果分析。结果与结论:①应用于经皮椎体后凸成形治疗的脊柱植入物包括VBS支架、Jack椎体扩张器、SKY骨扩张器系统、Osseofix系统、SpineJack、KIVA系统和记忆合金椎体支架;②它们在经典经皮椎体后凸成形的基础上有一定的改良和发展,在取得相同临床疗效的同时尽可能降低诸如骨水泥渗漏、椎体高度再丢失、邻近椎体再骨折风险增高等并发症。
BACKGROUND:Percutaneous kyphoplasty is of breakthrough significance in minimally invasive treatment of vertebral compression fractures,but it also has shortcomings,such as bone cement leakage,limited height recovery of the vertebral body,and increased risk of fracture of adjacent vertebral bodies.In recent years,a variety of spinal implants have been developed,and the application of these implants in the treatment of vertebral compression fractures in percutaneous kyphoplasty has achieved good clinical efficacy,and is beneficial to reduce the complications of traditional percutaneous kyphoplasty.OBJECTIVE:To describe the types and characteristics of various spinal implants and explore their clinical applications in percutaneous kyphoplasty.METHODS:CNKI,PubMed and Elsevier were retrieved for relevant literature.The key words were“percutaneous kyphoplasty,spinal implants,vertebral stents,vertebral compression fractures”.Relevant articles published from January 2000 to June 2019 were reviewed,including review,basic research and clinical research.Preliminary screening was conducted by reading the article title and abstract,and the literatures with low relevance to the article topic were excluded.According to the inclusion and exclusion criteria,62 articles were finally included for analysis.RESULTS AND CONCLUSION:(1)Spinal implants used in percutaneous kyphoplasty include VBS stent,Jack vertebra expander,SKY bone expander system,Osseofix system,SpineJack,KIVA system and memory alloy vertebral stent.(2)They are modified and developed on the basis of classic percutaneous kyphoplasty to achieve the same clinical efficacy while minimizing complications such as cement leakage,loss of vertebral height,and increased risk of adjacent vertebral body fracture.
作者
高健安
陈曦
张隆盛
廖文波
Gao Jian’an;Chen Xi;Zhang Longsheng;Liao Wenbo(Department of Spine Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,Guizhou Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2020年第12期1935-1940,共6页
Chinese Journal of Tissue Engineering Research
基金
贵州省科技计划项目(黔科合支持[2019]2812)，项目负责人：廖文波~~
关键词
经皮椎体后凸成形
球囊
脊柱植入物
椎体支架
椎体压缩性骨折
并发症
percutaneous kyphoplasty
balloon
spinal implants
vertebral body stents
vertebral compression fracture
complications
