Zement am Becken: Wohl oder Wehe?

Zusammenfassung

Einleitung Pathologische Knochenmorphologie und Frakturen, sei es durch osteoporotische Veränderungen oder bösartige Prozesse, erfordern besonders stabile, im Idealfall auch minimalinvasive Osteosyntheseverfahren. Die additive Nutzung von Knochenzement hat hier Vor- aber auch Nachteile. Ziel dieses Literaturreviews ist es daher, die führenden Indikationen sowie Vor- und Nachteile für die Zementapplikation am Becken näher zu beleuchten.

Material und Methoden Es wurde eine PubMed-Recherche mit Fokus auf die Suchbegriffe „cement, pelvic“ durchgeführt (648 Einträge) und die für die vorliegende Fragestellung besonders relevanten Artikel wurden ausgewertet.

Ergebnisse und Diskussion Die aktuelle Literatur setzt sich im Wesentlichen mit folgenden 4 Themenfeldern auseinander: Zementoplastie, Zementaugmentation sakroiliakaler Schrauben bzw. iliakaler Schrauben und perkutane Fixierung durch interne zementierte Schraube. Es zeigt sich – bei strenger Indikationsstellung – eine weitgehend zuverlässige, sichere und zumeist minimalinvasive Anwendbarkeit von Zement bei o. g. Techniken, die eine niedrige Komplikationsrate aufweisen.

Abstract

Introduction Pathological bone morphology and fractures, whether due to osteoporotic changes or malignant processes, require particularly stable and ideally minimally invasive osteosynthesis procedures. The additive use of bone cement offers both advantages and disadvantages. The aim of this literature review is therefore to shed more light on the leading indications as well as advantages and disadvantages for the application of cement to the pelvis.

Material and methods A PubMed search was carried out with a focus on the search terms "cement, pelvic" (648 entries) and the articles particularly relevant to the present research question were evaluated.

Results and discussion The current literature mainly deals with the following four topics: cementoplasty, cement augmentation of sacroiliac screws or iliac screws and percutaneous fixation with internal cemented screws. It shows – with strict indication – a largely reliable, safe and mostly minimally invasive application of cement in the above mentioned techniques that have a low complication rate.

Schlüsselwörter

Zementaugmentation - Zementoplastie - sakroiliakale Schrauben - iliakale Schrauben - perkutane Fixierung - Becken

Keywords

cement augmentation - cementoplasty - sacroiliac screws - iliac screws - percutaneous fixation - pelvic

• Literatur

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