Tarrant Seth M, Balogh Zsolt J
Trauma Service, Division of Surgery, John Hunter Hospital, Locked Bag No. 1, Hunter Region Mail Centre, Newcastle, NSW, 2310, Australia.
University of Newcastle, Newcastle, NSW, Australia.
World J Surg. 2020 Apr;44(4):1009-1019. doi: 10.1007/s00268-019-05237-y.
Osteoporosis is an epidemic in the developed world. Fracture is a major burden associated with osteoporosis. Surgical management is recommended for particular anatomical areas, whilst other fracture patterns have a less defined and controversial role for surgery. This review aims to highlight increase in the global burden of osteoporosis and subsequent fragility fractures. As health and life expectancy improves, osteoporotic fracture fixation will constitute a significant physical and economic burden. The surgical management of osteoporotic fractures involves awareness on all levels from government to the individual, from primary prevention of fracture to surgical aftercare in the community.
骨质疏松症在发达国家呈流行态势。骨折是与骨质疏松症相关的主要负担。对于特定解剖部位推荐采用手术治疗,而其他骨折类型在手术治疗方面的作用界定尚不明确且存在争议。本综述旨在强调全球骨质疏松症负担及随后的脆性骨折的增加。随着健康状况和预期寿命的改善,骨质疏松性骨折固定将构成重大的身体和经济负担。骨质疏松性骨折的手术治疗涉及从政府到个人的各级层面的认知,从骨折的一级预防到社区的术后护理。