Franck Helmut, Boszczyk Bronek M, Bierschneider Michael, Jaksche Hans
Center of Rheumatology, Hubertusstr. 40 Oberammergau, 82487, Oberammergau, Germany.
Eur Spine J. 2003 Oct;12 Suppl 2(Suppl 2):S163-7. doi: 10.1007/s00586-003-0591-2. Epub 2003 Sep 12.
Osteoporotic vertebral compression fractures (VCFs) are associated with a series of clinical consequences leading to increased morbidity and even mortality. Early diagnosis and therapeutic intervention is desirable in order to remobilise patients and prevent further bone loss. Not all fractures are, however, sufficiently treatable by conservative measures. Here, vertebroplasty and kyphoplasty may provide immediate pain relief by minimally invasive fracture stabilisation. In cases of acute fractures, kyphoplasty has the potential to reduce kyphosis and restore the normal sagittal alignment of the spine. The complex nature of systemic osteoporosis, coupled with the intricate biomechanics of vertebral fractures, leads to a clinical setting which is ideally treated interdisciplinarily by the rheumatologist and spine surgeon.
骨质疏松性椎体压缩骨折（VCF）会引发一系列临床后果，导致发病率甚至死亡率上升。为了使患者恢复活动能力并防止进一步骨质流失，早期诊断和治疗干预是很有必要的。然而，并非所有骨折都能通过保守措施得到充分治疗。在此，椎体成形术和后凸成形术可通过微创骨折固定立即缓解疼痛。对于急性骨折，后凸成形术有可能减少脊柱后凸并恢复脊柱正常矢状位排列。全身性骨质疏松的复杂性，加上椎体骨折复杂的生物力学特性，导致了一种临床情况，理想的治疗方式是由风湿病学家和脊柱外科医生进行多学科治疗。
