시멘트 누출 위험성이 높은 환자에서의 풍선 척추몸통뼈 복원술 -증례보고-

A Case of Balloon Kyphoplasty in High Risk under Cement Leakage -A case report-

  • 최윤숙 (서울대학교 의과대학 마취과학교실) ;
  • 이미금 (서울대학교 의과대학 마취과학교실) ;
  • 이효민 (서울대학교 의과대학 마취과학교실) ;
  • 조지연 (서울대학교 의과대학 마취과학교실) ;
  • 정희진 (서울대학교 의과대학 마취과학교실) ;
  • 이철중 (서울대학교 의과대학 마취과학교실) ;
  • 이상철 (서울대학교 의과대학 마취과학교실) ;
  • 김용철 (서울대학교 의과대학 마취과학교실) ;
  • 심성은 (서울 시립 보라매병원 마취통증의학과)
  • Choi, Yun Suk (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Lee, Mi Geum (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Lee, Hyo Min (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Jo, Ji Yon (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Jeong, Hee Jin (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Lee, Chul Joong (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Lee, Sang Chul (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Kim, Yong Chul (Department of Anesthesiology, Seoul National University College of Medicine) ;
  • Sim, Sung Eun (Department of Anesthesiology and Pain Medicine, Boramae Hospital)
  • 투고 : 2006.09.29
  • 심사 : 2006.11.30
  • 발행 : 2006.12.30

초록

A vertebral compression fracture can cause chronic back pain, and may also result in progressive kyphosis. The traditional treatments of a vertebral compression fracture include bed rest, analgesics and bracing. Balloon kyphoplasty can restore the vertebral height and allow safe bone cement injection into the cavity made by the balloon, which significantly reduces the risk of cement leakage compared to vertebroplasty. An 82-year-old female patient suffered from severe low back pain. Due to the intractable pain and immobility, which could not be relieved by conventional care, as well as the empty vertebral body associated with communicated fractures of the vertebral surfaces, balloon kyphoplasty, with a thicker bone cement injection than usual with balloon kyphoplasty, was chosen. The preoperative intractable pain and immobility were dramatically relieved soon after the procedure, without any complications.

키워드

참고문헌

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