首页|老年骨质疏松性胸腰椎压缩性骨折的诊疗进展

老年骨质疏松性胸腰椎压缩性骨折的诊疗进展

扫码查看
骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCFs)是老年人群中最常见的骨折,对病人健康和生活质量造成严重影响.本文综述了老年骨质疏松性胸腰椎压缩性骨折的诊疗进展.在诊断方面,临床表现和影像学检查尤为重要.虽然X线作为首选的影像学检查,但MRI具有更高的识别灵敏度,新型MRI技术有望提高OVCFs的诊断准确度.治疗方面,保守治疗和微创手术是常用的方法.除了经皮椎体成形术、经皮椎体后凸成形术等传统微创技术外,基于支架类植入物的椎体成形术和机器人辅助椎体成形术等新技术也在不断发展.
Progress in diagnosis and treatment of osteoporotic thoracolumbar compression fractures in the elderly
Osteoporotic vertebral compression fractures(OVCFs)are the most common fractures in the elderly population,significantly impacting patients'health and quality of life.This article reviews the diagnostic and therapeutic advancements in the management of elderly patients with osteoporotic thoracolumbar vertebral compression fractures.In terms of diagnosis,clinical manifestations and imaging examinations are crucial.While X-ray remains the preferred imaging modality,MRI offers higher sensitivity in identifying OVCFs,with promising new MRI technologies expected to further enhance diagnostic accuracy.Regarding treatment,conservative management and minimally invasive surgery are commonly employed methods.In addition to traditional minimally invasive techniques such as PVP and PKP,novel approaches such as vertebral augmentation with implant-based systems and robot-assisted vertebral augmentation are continuously evolving.

osteoporosisthoracolumbar compression fracturesminimally invasive treatment

杜龙宇、薛航、曹发奇、周武、米博斌、刘梦非、胡益强、刘国辉

展开 >

430022 武汉,华中科技大学同济医学院附属协和医院骨科

骨质疏松 胸腰椎压缩性骨折 微创治疗

2024

临床外科杂志
中华医学会湖北分会

临床外科杂志

CSTPCD
影响因子:0.716
ISSN:1005-6483
年,卷(期):2024.32(4)
  • 35