儿童经皮后凸成形术和椎体成形术：系统回顾

IF 0.5 Q4 CLINICAL NEUROLOGY

Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-08-05 DOI:10.1016/j.inat.2025.102105

Beaudelaire Romulus Assan , Mèhomè Wilfried Dossou , Wilfried Innocent Munkado Meuga , Yannelle Agbodjogbé , Raïssa Abibatou Yasmina Diaby , Joël Emmanuel N’guessan Brou , Laté Dzidoula Lawson , Nourou Dine Adeniran Bankolé

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引用次数: 0

摘要

目前，椎体增强术主要用于治疗成人椎体压缩性骨折。然而，越来越多的文献报道其在儿科人群中的应用。目的总结小儿经皮后凸和椎体成形术的适应证、技术要点和效果。方法电子检索PubMed/ Medline关于PKP和PVP的英文文献，不受时间限制。结果纳入7项研究（3例报告和4例系列），共21例患者和46例椎体增强术。该手术主要适用于平均年龄为10.2岁（范围5-13岁，标准差为2.9）、性别比为4.3的青少年。适应症可分为外伤性、畸形性、肿瘤性和骨质疏松性4组。经皮球囊后凸成形术和椎体成形术用于胸椎和腰椎，57%的病例采用后路固定。唯一使用的水泥是聚甲基丙烯酸甲酯，无泄漏报告。平均手术时间118 min（范围77 ~ 148，SD 14）。在减轻疼痛，神经功能障碍和脊柱对齐恢复方面，结果非常好。死亡率为19%，完全是由于恶性进展。结论经皮椎体和后凸成形术治疗儿童畸形的可行性和有效性。没有发现并发症的证据，表明该技术是安全的。涉及更大患者群体的进一步研究将使我们进一步完善这些方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Percutaneous kyphoplasty and vertebroplasty in children: A systematic review

Background

Currently, vertebral augmentation is primarily used to treat vertebral compression fractures in adults. However, an increasing literature reports its use in the paediatric population.

Aim

To summarise the indications, technical aspects and results of paediatric percutaneous kyphoplasty and vertebroplasty.

Methods

We performed an electronic search of PubMed/ Medline English literature on PKP and PVP without time limitation.

Results

Seven studies (3 case reports and 4 case series) with a total of 21 patients and 46 vertebral augmentations were included. The procedure is mainly performed in adolescents with a mean age of 10.2 years (range 5–13, SD 2.9) and a sex ratio of 4.3. Indications can be divided into 4 groups (traumatic, malformative, tumour and osteoporotic). Balloon percutaneous kyphoplasty and vertebroplasty were the techniques used for thoracic and lumbar vertebrae, with posterior fixation in 57 % of cases. Polymethylmethacrylate was the only cement used and no leakage was reported. The mean operative time was 118 min (range 77–148, SD 14). Results were excellent in terms of pain reduction, neurological dysfunction and restoration of spinal alignment. Mortality was 19 %, exclusively due to malignant progression.

Conclusion

This review provides evidence of the feasibility and efficacy of percutaneous kyphoplasty and vertebroplasty in children. No evidence of complications was found, suggesting that the technique is safe. Further studies involving larger patient groups would allow us to refine these aspects further.

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