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骨质疏松性椎体骨折的保守治疗:最新进展

Conservative management of osteoporotic vertebral fractures: an update.

作者信息

Slavici A, Rauschmann M, Fleege C

机构信息

Orthopedic University Hospital Frankfurt, Marienburgstraße 2, 60528, Frankfurt, Germany.

Department of Orthopedic Spine Surgery, Orthopedic University Hospital Frankfurt, Marienburgstraße 2, 60528, Frankfurt, Germany.

出版信息

Eur J Trauma Emerg Surg. 2017 Feb;43(1):19-26. doi: 10.1007/s00068-016-0747-5. Epub 2016 Dec 26.

DOI:10.1007/s00068-016-0747-5
PMID:28025663
Abstract

PURPOSE

Adequate conservative management of osteoporotic vertebral fractures remains important in an aging population.

METHODS

We performed a research of multiple databases and present important studies in this narrative review.

RESULTS

The pertinent literature remains scarce and of mixed quality. However, trends are shown to support early mobilization, less rigid bracing and pharmaceutical secondary prevention.

CONCLUSION

There is insufficient data to recommend the optimal conservative management for osteoporotic vertebral fractures. As such high-quality studies need to be conducted to establish a solid course of action.

摘要

目的

在老龄化人群中,对骨质疏松性椎体骨折进行充分的保守治疗仍然很重要。

方法

我们对多个数据库进行了研究,并在本叙述性综述中呈现了重要研究。

结果

相关文献仍然稀少且质量参差不齐。然而,有趋势表明支持早期活动、减少刚性支具固定以及药物二级预防。

结论

尚无足够数据推荐骨质疏松性椎体骨折的最佳保守治疗方法。因此,需要开展高质量研究以确立可靠的治疗方案。

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本文引用的文献

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Time course of osteoporotic vertebral fractures by magnetic resonance imaging using a simple classification: a multicenter prospective cohort study.采用简单分类法的磁共振成像骨质疏松性椎体骨折的时间进程:一项多中心前瞻性队列研究。
Osteoporos Int. 2017 Feb;28(2):473-482. doi: 10.1007/s00198-016-3737-x. Epub 2016 Aug 30.
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Effect of Brace to Osteoporotic Vertebral Fracture: a Meta-Analysis.支具对骨质疏松性椎体骨折的影响:一项荟萃分析。
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Effect of elcatonin versus nonsteroidal anti-inflammatory medications for acute back pain in patients with osteoporotic vertebral fracture: a multiclinic randomized controlled trial.
当前脊柱机器人矫形器综述
Healthcare (Basel). 2021 Jan 13;9(1):70. doi: 10.3390/healthcare9010070.
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Effect of bisphosphonates or teriparatide on mechanical complications after posterior instrumented fusion for osteoporotic vertebral fracture: a multi-center retrospective study.双膦酸盐或特立帕肽对骨质疏松性椎体骨折后路内固定融合术后机械并发症的影响:一项多中心回顾性研究。
BMC Musculoskelet Disord. 2020 Jul 1;21(1):420. doi: 10.1186/s12891-020-03452-6.
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Sarcopenia affects conservative treatment of osteoporotic vertebral fracture.肌肉减少症影响骨质疏松性椎体骨折的保守治疗。
Osteoporos Sarcopenia. 2018 Sep;4(3):114-117. doi: 10.1016/j.afos.2018.09.002. Epub 2018 Sep 26.
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Osteoporotic vertebral fractures: predictive factors for conservative treatment failure. A systematic review.骨质疏松性椎体骨折:保守治疗失败的预测因素。系统评价。
Eur Spine J. 2018 Oct;27(10):2565-2576. doi: 10.1007/s00586-017-5340-z. Epub 2017 Oct 13.
7
Fragility fractures of the spine.脊柱脆性骨折
Eur J Trauma Emerg Surg. 2017 Feb;43(1):1-2. doi: 10.1007/s00068-016-0752-8. Epub 2017 Jan 11.
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