Gosch M, Kammerlander C, Pils K, Lechleitner M, Benvenuti-Falger U, Roth T, Joosten-Gstrein B, Pietschmann P
Abteilung für Innere Medizin und Akutgeriatrie, Landeskrankenhaus Hochzirl, Hochzirl 1, 6170, Zirl, Österreich.
Z Gerontol Geriatr. 2012 Jul;45(5):417-28; quiz 429. doi: 10.1007/s00391-012-0336-0.
Due to the demographic changes of the last few decades, there has been a significant increase in the number of osteoporotic fractures. After a fracture, geriatric patients are at particularly high risk for an increase of their functional impairments as well as a loss of independence and quality of life. In spite of the severe medical and socioeconomic consequences of fragility fractures, osteoporotic treatment and prevention are still insufficient. Based on the current literature, the pharmacological and nonpharmacological treatment options as well as new surgical techniques for geriatric patients are reviewed.
由于过去几十年的人口结构变化,骨质疏松性骨折的数量显著增加。骨折后,老年患者功能障碍加剧、失去独立性和生活质量下降的风险尤其高。尽管脆性骨折会带来严重的医学和社会经济后果,但骨质疏松症的治疗和预防仍然不足。基于当前文献,对老年患者的药物和非药物治疗选择以及新的手术技术进行综述。