Department of Orthopaedics, Peking University Third Hospital, Beijing, China.
Engineering Research Center of Bone and Joint Precision Medicine, Beijing, China.
Orthop Surg. 2023 Nov;15(11):2743-2748. doi: 10.1111/os.13822. Epub 2023 Aug 16.
With an aging population, the osteoporotic vertebral compression fracture (OVCF) has become a constant concern for its physical and neurological complications, such as spinal kyphosis and refractory pains. Compared with traditional conservative treatments, the open surgery is more superior in some ways because of its direct decompression and correction. Various operation methods applying to different indications have been developed to deal with different fracture situations, including anterior, posterior, and combined surgery. In this review, we have concluded the latest developments of the surgery treating OVCF and the internal fixation as references for spinal surgeons of the choice of suitable treatments.
随着人口老龄化,骨质疏松性椎体压缩骨折(OVCF)因其物理和神经并发症,如脊柱后凸和难治性疼痛,已成为人们持续关注的问题。与传统的保守治疗相比,开放手术在某些方面更具优势,因为它可以直接减压和矫正。针对不同骨折情况,已经开发出各种适用于不同适应证的手术方法,包括前路、后路和联合手术。在这篇综述中,我们总结了治疗 OVCF 的手术和内固定的最新进展,以供脊柱外科医生选择合适的治疗方法参考。