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Tecniche e Metodiche Interventistiche Vertebrali

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Imaging del rachide

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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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Capitolo 11

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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

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0835-9

  • Online ISBN: 978-88-470-0836-6

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