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Vertebroplasty and epiduroscopy as seen by interventional radiologist


Authors: Josef Vymazal;  Radko Kříž
Authors place of work: Radiologické oddělení Nemocnice Na Homolce
Published in the journal: Čas. Lék. čes. 2018; 157: 203-207
Category: Review Article

Summary

Two minimally-invasive techniques in the spinal region are introduced: vertebroplasty and epiduroscopy.

Vertebroplasty is mostly used in the treatment of osteoporotic vertebral body fractures, as well as in the palliative treatment of spinal metastases or symptomatic hemangiomas. It is usually performed under fluoroscopic, and often also CT control under analgesic sedation. If correctly indicated an analgesic effect occurs in roughly 90 % of patients.

Epiduroscopy is a new technique, which is promising especially in patients with failed back surgery syndrome; patients with clinically-symptomatic fibrous adhesions, generally after repeated surgery. If correctly indicated a positive effect occurs in roughly one third to one half of patients.

Keywords:

vertebroplasty, kyphoplasty, epiduroscopy, CT, MRI, minimally invasive technique, osteoporosis


Zdroje

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Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist
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