骨质疏松性椎体髋部骨折诊断和处理 .pptVIP

经皮椎体成形术方法 Vertebroplasty 在C-臂、G-臂或CT引导下，经皮经椎弓根插入特制套管针至压缩骨折椎体中线前缘，加压注入骨水泥。 可增加稳定性、止痛，但不能矫正压缩的脊柱，潜在的骨水泥外渗漏可造成神经损伤、椎管狭窄 VertebroplastyTechnique Notes Physical examination transpedicular, costovertebral. Large-bore needle. vertebral venography, nonionic contrast agent, 3-4cc, saline wash out. bone cement, 6g sterile barium, 11-13 gauge needle, mixing takes 3-5 minutes. Injecting under fluoroscopic visualization, not less than 2.5cc. Prone position until mixing bowl has hardened. Keeping resting supine under observation 4 hours Kyphoplasty方法 此法在 Vertebroplasty 基础上，先用特制的气囊将 压缩椎体复位，然后在