Cifoplastia guiada por TC: una opción técnica en el tratamiento de fracturas vertebrales patológicas / CT-guided kyphoplasty: a technical option in the treatment of pathological vertebral fractures
Rev. chil. radiol
;
19(4): 150-155, 2013. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-701724
ABSTRACT
Pathological vertebral fractures are caused by various entities. They cause significant pain and impaired quality of life of patients. The CT-guided kyphoplasty relieves or eliminates pain and stabilizes the fractured vertebral bodies. 49 patients were treated. The procedure is performed percutaneously by inserting a needle that is subsequently removed, leaving a cannula. Through this a balloon-like device is introduced and subsequently inflated to create a cavity, which is then filled with polymethylmethacrylate (PMMA). The technique was performed successfully in all cases without serious complications, with good results. Its advantages are that the needle placement as well as the injection of PMMA can be correctly visualized using real-time CT fluoroscopy. In addition a single needle is used throughout the entire procedure, which minimizes the risk of complications as it is less traumatic.
RESUMEN
Las fracturas vertebrales patológicas se originan por diversas entidades. Producen dolor importante y deterioro de la calidad de vida de los pacientes. La cifoplastia guiada por tomografía computarizada (TC) alivia o elimina el dolor y estabiliza los cuerpos vertebrales fracturados. Se han tratado 49 pacientes. El procedimiento se realiza por vía percutánea, mediante la inserción de una aguja que posteriormente se retira dejando una cánula. A través de la misma se introduce un dispositivo que lleva incorporado un balón que se infla creando una cavidad, que se rellena con polimetilmetacrilato (PMMA). La técnica se practicó con éxito en todos los casos sin complicaciones graves, con buenos resultados. Sus ventajas son visualizar correctamente la posición de la aguja y la inyección del PMMA mediante la escopia del TC en tiempo real. Además se utiliza una sola aguja para todo el procedimiento, lo cual minimiza el riesgo de complicaciones siendo menos traumático.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tomography, X-Ray Computed
/
Spinal Fractures
/
Polymethyl Methacrylate
/
Kyphoplasty
Type of study:
Etiology study
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. chil. radiol
Journal subject:
Radiology
Year:
2013
Type:
Article
Affiliation country:
Mexico
/
Spain
Institution/Affiliation country:
Clínica del Dolor/ES
/
Hospital Universitario de Bellvitge/ES
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