Borges Joao Lindolfo C, de M Miranda Isabella Santiago, Lewiecki E Michael
Centro de Pesquisa Clínica do Brasil, Universidade Católica de Brasília, Brazil.
Centro de Pesquisa Clínica do Brasil.
J Clin Densitom. 2017 Jul-Sep;20(3):304-308. doi: 10.1016/j.jocd.2017.06.016. Epub 2017 Jul 18.
Vertebral fracture (VF) is the most common type of osteoporotic fracture. VFs are associated with diminished quality of life and high morbidity and mortality. The presence of a VF, especially a recent one, is an important risk factor for developing another fracture. However, most VFs are not clinically recognized. VF assessment by dual-energy X-ray absorptiometry is a convenient, low-cost, low-radiation, reliable method to identify VFs during bone mineral density measurement. The finding of a previously unrecognized VF may change the diagnostic classification, assessment of fracture risk, and treatment strategies. This paper focuses on the utility of VF assessment in clinical practice.
椎体骨折（VF）是骨质疏松性骨折最常见的类型。椎体骨折与生活质量下降以及高发病率和死亡率相关。椎体骨折的存在，尤其是近期发生的骨折，是发生另一次骨折的重要危险因素。然而，大多数椎体骨折在临床上未被识别。通过双能X线吸收法进行椎体骨折评估是在骨密度测量过程中识别椎体骨折的一种便捷、低成本、低辐射且可靠的方法。发现先前未被识别的椎体骨折可能会改变诊断分类、骨折风险评估和治疗策略。本文重点关注椎体骨折评估在临床实践中的应用。
