Daskalakis Ioannis I, Bastian Johannes D, Mavrogenis Andreas F, Tosounidis Theodoros H
Department of Orthopaedic Surgery, Medical School, University of Crete, 71110 Heraklion, Greece.
Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.
SICOT J. 2025;11:40. doi: 10.1051/sicotj/2025035. Epub 2025 Jul 16.
Osteoporotic vertebral fractures (OVFs) are the most common type of fragility fractures. They have a significant and usually detrimental impact on the patient's functional status and mortality rate, constituting a substantial burden for the patients, their families, and the healthcare system. This narrative review aims to summarize the current knowledge of osteoporotic vertebral fractures and secondary fracture prevention.
A comprehensive literature search was conducted across major medical databases, including PubMed, Scopus, and Web of Science. Relevant studies, guidelines, and reviews published were analyzed to provide a broad perspective on the topic.
Diagnosis of OVFs is based on history, clinical examination, and plain lateral radiographs of the spine. Their management is mainly non-operative, with surgery being reserved for specific indications. Successful management of osteoporotic vertebral fractures entails alleviating pain, early restoration of mobility, and secondary fracture prevention. Prevention of the next osteoporotic fracture is paramount and should be an integral element of their management. The Fracture Liaison Service (FLS) is the main contemporary service that serves this purpose.
Diagnosis of OVFs is simple but requires vigilance from the clinicians. Early, accurate diagnosis is essential to initiate appropriate treatment and provide the opportunity for secondary fracture prevention.
骨质疏松性椎体骨折（OVF）是最常见的脆性骨折类型。它们对患者的功能状态和死亡率有重大且通常是有害的影响，给患者及其家庭以及医疗保健系统带来沉重负担。本叙述性综述旨在总结骨质疏松性椎体骨折及继发性骨折预防的当前知识。
在包括PubMed、Scopus和Web of Science在内的主要医学数据库中进行了全面的文献检索。对已发表的相关研究、指南和综述进行分析，以提供关于该主题的广泛视角。
OVF的诊断基于病史、临床检查和脊柱的普通侧位X线片。其治疗主要是非手术治疗，手术仅适用于特定指征。骨质疏松性椎体骨折的成功治疗需要缓解疼痛、早期恢复活动能力以及预防继发性骨折。预防下一次骨质疏松性骨折至关重要，应是其治疗的一个组成部分。骨折联络服务（FLS）是目前为此目的服务的主要服务项目。
OVF的诊断简单，但需要临床医生保持警惕。早期、准确的诊断对于启动适当治疗和提供继发性骨折预防机会至关重要。
