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骨质疏松性骨折综述:发生、预防及后果

Review of Osteoporotic Fractures: Occurrence, Prevention, and Consequences.

作者信息

Elias Nelson, Ribeiro José Eduardo Grandi, Campinho Luiz Augusto, Reis Cilas, Elias Luiz Arthur Miguelote S, Labronici Pedro José

机构信息

Universidade Estadual Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Universidade Federal Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

出版信息

Rev Bras Ortop (Sao Paulo). 2025 Jun 14;60(2):1-8. doi: 10.1055/s-0044-1789220. eCollection 2025 Apr.

Abstract

Osteoporosis is a metabolic condition that compromises bone density and architecture, increasing the risk of fractures and impacting morbidity and mortality. The diagnosis involves bone densitometry, in which mineral density in areas prone to fractures is assessed. Primary osteoporosis is age-related and may remain asymptomatic for years, while secondary osteoporosis results from comorbidities or medications. Approximately 80% of postmenopausal Caucasian women have osteoporosis, with an expected increase with aging. Orthopedic treatments are common for fractures, which are often caused by falls in the elderly. Fracture prevention requires public health policies and therapies focused on this goal.

摘要

骨质疏松症是一种代谢性疾病,会损害骨密度和骨结构,增加骨折风险,并影响发病率和死亡率。诊断方法包括骨密度测定,即评估易发生骨折部位的矿物质密度。原发性骨质疏松症与年龄相关,可能多年无症状,而继发性骨质疏松症则由合并症或药物引起。大约80%的绝经后白人女性患有骨质疏松症,预计随着年龄增长发病率还会上升。骨折在老年人中通常由跌倒引起,骨科治疗很常见。预防骨折需要制定以该目标为重点的公共卫生政策和治疗方法。

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