1Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York 2Royal College of Surgeons in Ireland (RCSI)-Bahrain, Al Sayh, Bahrain 3Division of Spine Surgery, Methodist Hospitals, Merrillville, Indiana 4Spine Service, Hospital for Special Surgery, New York, NY 5Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY 6Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.
JBJS Rev. 2020 Jun;8(6):e0160. doi: 10.2106/JBJS.RVW.19.00160.
Despite being part of the aging process, early and adequate management of osteoporosis mitigates adverse outcomes associated with low bone mineral density. Although the health-care burden of osteoporosis is on the rise, screening and management of osteoporosis are not yet an integral part of preoperative patient evaluation in spine surgery. Patients with osteoporosis should undergo multidisciplinary evaluation and management, including lifestyle modifications and initiation of multiple therapeutic modalities. Integrating osteoporosis in preoperative optimization and surgical planning for patients undergoing spine surgery has the potential to mitigate osteoporosis-related postoperative complications.
尽管骨质疏松症是衰老过程的一部分，但早期和充分的管理可以减轻与低骨密度相关的不良后果。尽管骨质疏松症的医疗负担正在增加，但骨质疏松症的筛查和管理尚未成为脊柱手术术前患者评估的一个组成部分。骨质疏松症患者应接受多学科评估和管理，包括生活方式的改变和多种治疗方法的启动。将骨质疏松症纳入接受脊柱手术的患者的术前优化和手术计划中，有可能减轻与骨质疏松症相关的术后并发症。
