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23.05.2022 | Osteoporose | Leitthema

Zementaugmentation in der Wirbelsäulenchirurgie

verfasst von: Dr. med. Philipp Schleicher, Alexander Wengert, Jonathan Neuhoff, Frank Kandziora

Erschienen in: Die Unfallchirurgie | Ausgabe 6/2022

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Zusammenfassung

Knochenzement wird an der Wirbelsäule schon seit 50 Jahren verwendet. In der modernen Wirbelsäulenchirurgie sind die Zementaugmentation osteoporotisch frakturierter Wirbelkörper in Form der Vertebroplastie/Kyphoplastie sowie die Zementaugmentation von Pedikelschrauben bei instrumentierten Eingriffen jedweder Ätiologie als Standardverfahren etabliert. Beide Verfahren sind sehr effektiv, wobei der Nutzen der Vertebroplastie/Kyphoplastie in der Vergangenheit sehr kontrovers diskutiert wurde. Insgesamt treten selten Komplikationen auf. Die relevanteste Komplikation ist die Zementleckage, die in der Mehrzahl der Fälle asymptomatisch bleibt, im schlimmsten Fall aber auch neurologische Schäden oder embolische Ereignisse bis hin zum Kreislaufversagen nach sich ziehen kann. Der Prophylaxe der Zementextravasation kommt daher überragende Bedeutung zu. Risikofaktoren für die Zementleckage und vorbeugende Maßnahmen werden anhand der vorhandenen Literatur in einem umfassenden Review dargestellt.

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Titel: Zementaugmentation in der Wirbelsäulenchirurgie
verfasst von: Dr. med. Philipp Schleicher
Alexander Wengert
Jonathan Neuhoff
Frank Kandziora
Publikationsdatum: 23.05.2022
Verlag: Springer Medizin
Schlagwörter: Osteoporose
Osteoporose
Operationen am Rückenmark
Erschienen in: Die Unfallchirurgie / Ausgabe 6/2022
Print ISSN: 2731-7021
Elektronische ISSN: 2731-703X
DOI: https://doi.org/10.1007/s00113-022-01188-7

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