Estratto
La vertebroplastica percutanea (VP) è una procedura terapeutica di radiologia interventistica mini-invasiva per il trattamento delle fratture vertebrali dolorose, sviluppata in Francia nella metà degli anni ’80, ma che solo recentemente ha avuto diffusione in altri Paesi europei e negli Stati Uniti. Consiste nell’iniezione di un cemento a bassa viscosità nel soma vertebrale, attraverso un ago metallico, appositamente conformato, introdotto sotto guida TC o in fluoroscopia. Il cemento, denominato polimetilmetacrilato (PMMA), si diffonde all’interno del corpo vertebrale fratturato, prevenendo ulteriori cedimenti. Questo determina frequentemente una riduzione o scomparsa del dolore, in un tempo compreso tra le 12 e 72 ore dalla procedura, e consente di riacquistare mobilità a quei pazienti che hanno ridotto la propria attività fisica. La procedura richiede il ricovero di un giorno e quindi viene eseguita preferibilmente in regime di day surgery.
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Fourney DR, Schomer DF, Nader R et al (2003) Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurg 98[Suppl 1]:21–30
Guyer RD, Ohnmeiss DD (2003) Lumbar discography. Spine J 3[Suppl 3]:11S–27S
Jang JS, Lee SH, Jung SK (2002) Pulmonary embolism of polymethylmethacrylate after percutaneous vertebroplasty: a report of three cases. Spine 27(19):E416–8
Jensen ME, Evans AJ, Mathis JM et al (1997) Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. AJNR 18(10):1897–1904
Kim MJ, Lindsey DP, Hannibal M et al (2006) Vertebroplasty versus kyphoplasty: biomechanical behavior under repetitive loading conditions. Spine 31:2079–84
Kirby BS, Doyle A, Gilula LA (2003) Acute bronchospasm due to exposure to polymethylmethacrylate vapors during percutaneous vertebroplasty. AJR Am J Roentgenol 180(2):543–4
Lin CC, Chen IH, Yu TC et al (2007) New symptomatic compression fracture after percutaneous vertebroplasty at the thoracolumbar junction. AJNR 28(6):1042–5
Lindsay R, Silverman SL, Cooper C et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285(3):320–323
McGraw JK, Lippert JA, Minkus KD et al (2002) Prospective evaluation of pain relief in 100 patients undergoing percutaneous vertebroplasty: results and follow-up. J Vasc Interv Radiol 13(9):883–886
Muto M (2005) Vertebroplasty in the treatment of spine disease. Interventional Neuroradiol 11:309–323
Pneumaticos SG, Reitman CA, Lindsey RW (2006) Diskography in the evaluation of low back pain. J Am Acad Orthop Surg 14:46–55
Provenzano MJ, Murphy KPJ, Riley LH (2004) Bone cements: review of their physiochemical and biochemical properties in percutaneous vertebroplasty. AJNR 25:1286–1290
Riggs BL, Melton LJ (1995) The worldwide problem of osteoporosis: insights afforded by epidemiology. Bone 17[Suppl 5]:505S–511S
Rosenthal DI, Hornicek FJ, Wolfe MW et al (1998) Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 80:815–21
Shapiro S, Abel T, Purvines S (2003) Surgical removal of epidural and intradural polymethylmethacrylate extravasation complicating percutaneous vertebroplasty for an osteoporotic lumbar compression fracture. Case report. J Neurosurg 98[Suppl 1]:90–2
Sluijter ME, Cosman E, Rittman W et al (1998) The effect of pulsed radiofrequency fields applied to the dorsal root ganglion-a preliminary report. Pain Clin 11:109–117
Teng MM, Wei CJ, Wei LC et al (2003) Kyphosis correction and height restoration effects of percutaneous vertebroplasty. AJNR 24(9):1893–1900
Uppin AA, Hirsch JA, Centenera LV et al (2003) Occurrence of new vertebral body fracture after percutaneous vertebroplasty in patients with osteoporosis. Radiology 226(1):119–24
Van Kleef M, Barendse GA, Kessels A et al (1999) Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain. Spine 24:1937–1942
Woertler K, Vestring T, Boettner F et al (2001) Osteoid osteoma: CT guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol 12:717–22
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Anselmetti, G.C., Pedicelli, A., Albisinni, U. (2008). Tecniche e Metodiche Interventistiche Vertebrali. In: Imaging del rachide. Springer, Milano. https://doi.org/10.1007/978-88-470-0836-6_11
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DOI: https://doi.org/10.1007/978-88-470-0836-6_11
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