Department of Radiology, "Virgen de las Nieves" University Hospital, Granada, Spain.
Department of Radiology, "Virgen de las Nieves" University Hospital, Granada, Spain; Department of Radiology and Physical Medicine, University of Granada, Granada, Spain.
Med Clin (Barc). 2022 Feb 11;158(3):125-132. doi: 10.1016/j.medcli.2021.06.019. Epub 2021 Aug 13.
The radiological diagnosis of osteoporotic vertebral fractures (OVFs) is of major importance considering its therapeutic and prognostic implications. Both radiologists and clinicians have the opportunity to diagnose OVFs in daily clinical practice due to the widespread use of spine and chest radiography. However, several studies have reported an under-diagnosis of OVFs, particularly by a lack of consensus on the diagnostic criteria. Therefore, up-to-date knowledge of the most relevant approaches for the diagnosis of OVFs is necessary for many physicians. This article aims to review the most commonly used classification systems in the diagnosis of OVFs based on conventional radiography. We discuss their rationale, advantages and limitations, as well as their utility according to the context. This review will provide a concise yet useful understanding of the typology of OVFs, their clinical significance and prognosis. Finally, we include anatomical variations that can be confused with OVFs by non-experts.
鉴于骨质疏松性椎体骨折（OVFs）具有治疗和预后意义，其放射学诊断非常重要。由于脊柱和胸部 X 线摄影的广泛应用，放射科医生和临床医生都有机会在日常临床实践中诊断 OVF。然而，多项研究报告称 OVF 的诊断不足，特别是由于缺乏对诊断标准的共识。因此，许多医生都需要了解诊断 OVF 的最新知识。本文旨在综述基于常规 X 射线摄影的 OVF 诊断中最常用的分类系统。我们讨论了它们的原理、优点和局限性，以及根据具体情况的实用性。本综述将简要而有用地了解 OVF 的分型、其临床意义和预后。最后，我们还包括了非专业人员可能会与 OVF 混淆的解剖变异。
