Griffith James F, Guglielmi Giuseppe
Department of Diagnostic Radiology and Organ Imaging, Chinese University of Hong Kong, Prince of Wales Hospital, Ngan Shing Street, Shatin, New Territories, Hong Kong.
Radiol Clin North Am. 2010 May;48(3):519-29. doi: 10.1016/j.rcl.2010.02.012.
Vertebral fractures are usually the first to occur in osteoporosis, provide indisputable evidence of reduced bone strength, and are frequently a harbinger of further vertebral and nonvertebral fracture. Radiologists are best placed to draw attention to the presence of vertebral fractures, most of which are clinically silent. Magnetic resonance imaging supplemented if necessary by computed tomography is usually sufficient to enable distinction between osteoporotic and non-osteoporotic vertebral fracture, without a need for percutaneous biopsy.
椎体骨折通常是骨质疏松症中最先出现的，是骨强度降低的确凿证据，并且常常是进一步发生椎体和非椎体骨折的先兆。放射科医生最有条件提醒人们注意椎体骨折的存在，其中大多数在临床上并无症状。必要时辅以计算机断层扫描的磁共振成像通常足以区分骨质疏松性和非骨质疏松性椎体骨折，无需进行经皮活检。
