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[骨质疏松性椎体骨折]

[Osteoporotic vertebral body fractures].

作者信息

Heyde Christoph-E, Roth Andreas, Putzier Michael

机构信息

Klinik u. Poliklinik für Orthopädie, Unfallchirurgie u. Plastische Chirurgie, Bereich Wirbelsäulenchirurgie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland.

Centrum für muskuloskelettale Chirurgie, Charité Universitätsmedizin Berlin, Berlin, Deutschland.

出版信息

Orthopadie (Heidelb). 2023 Oct;52(10):808-817. doi: 10.1007/s00132-023-04433-y. Epub 2023 Sep 1.

Abstract

The number of osteoporotic fractures of the spine is increasing. These fractures are associated with elevated morbidity and mortality. This article provides an overview of the special features of these fractures, the diagnostic procedure, their classification, and the conservative and surgical treatment options. For the mostly elderly patients, it is important to treat the underlying disease and to address associated problems such as frailty and sarcopenia. To meet this growing medical and socio-economic challenge, a holistic interdisciplinary and interprofessional treatment approach is required.

摘要

脊柱骨质疏松性骨折的数量正在增加。这些骨折与发病率和死亡率的升高相关。本文概述了这些骨折的特点、诊断程序、分类以及保守和手术治疗选择。对于大多数老年患者来说,治疗基础疾病并解决诸如虚弱和肌肉减少症等相关问题很重要。为应对这一日益严峻的医学和社会经济挑战,需要一种全面的跨学科和跨专业治疗方法。

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