皮質骨路徑合併骨水泥：在骨質疏鬆椎體經骨水泥增強後的替代 ... | 合法醫療器材資訊網

Corticalbonetrajectorywithbonecement:Analternativefixationoptionfortreatingpatientswithpreviouslyaugmentedosteoporoticvertebrae.作者,孫孝倫、孫 ...

Fusion in the lumbosacral spine is a common surgical procedure for management of a variety of spinal pathologies. Transpedicular screw fixation is the most commonly used tech­nique for posterior lumbar fusion surgery. However, the traditional transpedicular path can become blocked by bone cement, which is frequently used to treat osteoportic compression fractures. Therefore, we introduced the cortical bone trajectory (CBT) with bone cement as an alternative fixation option for treating patients with previously augmented vertebrae. An 87-year-old woman presented with lower back pain with radiation to the left leg after a fall 2 months prior to presentation. She had undergone vertebroplasty at the L3 osteoportic ver­tebra and discectomies in the L3-4 and L4-5 vertebrae 2 years before admission. Progressive spondylolisthesis and recurrent discs with nerve root compression in previous surgical levels were diagnosed base...