Research progress of osteoporotic vertebral compression fracture

doi:10.3760/cma.j.issn.1007-1245.2022.13.006

Abstract

Abstract: Osteoporotic vertebral compression fracture (OVCF) is one of the most common and serious complication in osteoporosis (OP). At present, the clinical diagnosis and treatment of OVCF has been gradually perfected. Non-strict conservative treatment may lead to further compression of the injured vertebrae. Open surgery has great trauma and a high screw loosening or nail pulling rate. Although minimally invasive vertebral augmentation has significant therapeutic effects, complications, such as bone cement leakage, bone cement loosening, re-fracture of injured vertebrae, and fracture of adjacent vertebrae, cannot be completely avoided. Because of this, scholars at home and abroad have different opinions on the choices of treatment methods and related complications. This paper reviews the epidemiology, typing, diagnosis, treatment, and complications of OVCF by reading relevant literatures at home and abroad, so as to provide some help for clinicians in the diagnosis and treatment of OVCF and for the understanding of its complications.

Key words: Osteoporosis, Osteoporotic vertebral compression fracture, Research progress

摘要： 骨质疏松椎体压缩性骨折（osteoporotic vertebral compression fracture，OVCF）是骨质疏松症（osteoporosis，OP）最常见的并发症之一。尽管目前对OVCF的临床诊疗方案已经逐渐完善化，但非严格的保守治疗可能导致伤椎进一步压缩；开放手术创伤大，螺钉松动或拔钉率高；微创的椎体增强术治疗效果虽显著，但骨水泥渗漏、骨水泥松动、伤椎再骨折及邻近椎体骨折等相关并发症仍无法完全避免。也正因如此，国内外学者对治疗方式的选择及相关并发症的见解也不同。本文通过阅读国内外关于OVCF的相关文献，从OVCF的流行病学、分型、诊断、治疗及其并发症等方面进行综述，以便为临床医生在OVCF的诊疗及并发症的认识上提供一定帮助。

关键词: 骨质疏松症, 骨质疏松椎体压缩性骨折, 研究进展

Zhao Jiaqing, Zhao Zihao, Yu Xiankai, Geng Xiaopeng. Research progress of osteoporotic vertebral compression fracture [J]. International Medicine and Health Guidance News, 2022, 28(13): 1806-1809.

赵加庆　赵子豪　于先凯　耿晓鹏. 骨质疏松椎体压缩性骨折研究进展[J]. 国际医药卫生导报, 2022, 28(13): 1806-1809.

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