Avtor/Urednik		Vengust, Rok; Gorenšek, Miro; Pavlovčič, Vinko
Naslov		Vertebroplastika - nova operativna metoda za zdravljenje osteoporotičnih zlomov vretenc
Prevedeni naslov		Vertebroplasty - new operative procedure for osteoporotic vertebral fractures
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 71, št. 6
Leto izdaje		2002
Obseg		str. 363-6
Jezik		slo
Abstrakt		Background. Vertebroplasty is a new minimally invasive operative method used for treatment of osteoporotic vertebral fractures. The aim of vertebroplasty is to diminish pain and to gain the mechanical stability of fractured vertebra. Methods and results. From June to November 2001 vertebroplasty was performed on eleven vertebrae in seven patients. The mean age ofpatients at the operation was 49 years (24 to 63years). The mean time interval from injury to operation was 13 days (1 to 30 days). Preoperatively the mean level of pain according to visual analogue scale was 6 (4 to 9), 24 hours after operation the mean pain level was 0 (0 do 1) and three months after the operation 0 (od 0 do 1). In one patient minor leak of bone cement occured into the spinal canal during the procedure. No consequent nevrologic deficit was noted. Conclusions. In all our patients vertebroplasty was followed by total resolution of pain inside the first 24 hours. In the hands of experienced spinal surgeon vertebroplasty proved to be a safe method which enables the patient to proceed with an active lifestyle despite osteoporotic fractures of vertebrae.
Izvleček		Izhodišča. Vertebroplastika je nova minimalno invazivna operativna metoda za zdravljenje osteoporotičnih zlomov vretenc. Namen vertebroplastike je zmanjšati bolečino in zagotoviti mehansko stabilnost zlomljenega vretenca. Metode in rezultati. Od junija do novembra 2001 smo izvedli vertebroplastiko pri sedmih bolnikih na skupno enajstih vretencih. Povprečna starost bolnikov ob operaciji je bila 49 let (od 24 do 63 let). Od poškodbe je povprečno poteklo 13 dni (od 1 do 30 dni). Pred posegom je bila bolečina po vizualni analogni lestvici povprečno 6 (od 4 do 9), 24 ur po operaciji povprečno 0 (od 0 do 1) in tri mesece po operaciji povprečno 0 (od 0 do 1). Pri enem od bolnikov je prišlo med posegom do manjšega izliva cementa v spinalni kanal, a brez nevroloških posledic. Zaključki. Izkušnje z našimi bolniki kažejo, da se po vertebroplastiki bolečina v roku 24 ur po operaciji popolnoma umiri. V rokah izkušenega spinalnega kirurga je vertebroplastika varna metoda, ki omogoča bolniku aktivno življenje kljub osteoporotičnim zlomom vretenc.
Deskriptorji		OSTEOPOROSIS SPINAL FRACTURES BONE CEMENTS THORACIC VERTEBRAE LUMBAR VERTEBRAE TREATMENT OUTCOME