PVP treatment of osteoporotic vertebral compression fractures Complications.doc

 PAGE \* MERGEFORMAT 15 PVP treatment of osteoporotic vertebral compression fractures Complications [Keywords:] PVP osteoporotic vertebral compression fractures Percutaneous vertebroplasty (percutaneous vertebroplasty, PVP) is a percutaneous injection of bone cement in the minimally invasive treatment of neurological In 1984 the French radiologist Galibert et al [1] X-ray monitoring, percutaneous poly methyl methacrylate (polymethylmethacrylate, PMMA) bone cement into the C2 vertebral body, 1 case of successful treatment of chronic pain in the C2 vertebral body cavernous hemangioma. Since then, PVP rapidly becoming the treatment of vertebral and osteoporosis-related the choice of body compression fracture trend. PVP can strengthen and fixed vertebral body to restore vertebral body compression strength and stiffness, rapid pain relief, partial recovery of vertebral height, thereby improving the quality of life of patients for the treatment of osteoporotic thoracolumbar vertebral compression fracture provides a very effective method. in our elderly population, 400 million due to compression fractures of osteoporosis, 70 million people need treatment for pain and fractures [2]. With the technology in clinical gradually increased promotion and application, has become the treatment of vertebral compression fractures preferred method, but its complications are increasing year by year, now its in the treatment of osteoporotic vertebral compression fractures complications are summarized below. 1 Intraoperative complications PVP 1.1 cement leakage is the most common complication of bone cement leakage. Leakage area mainly in the epidural, foraminal, paravertebral soft tissues and the vertebral venous plexus [3]. Bone cement into the intervertebral foramen and epidural outside the common cause of nerve root damage and spinal cord compression, laminectomy required emergency surgery (about 2% ~ 3%) [4]. Garfin et al [5] reviewed the literature that bone cement