临床外科杂志 ›› 2024, Vol. 32 ›› Issue (4): 442-448.doi: 10.3969/j.issn.1005-6483.2024.04.031

• 专家共识 • 上一篇    

骨质疏松性椎体压缩骨折骨修复策略专家共识(2024版)

中国老年学和老年医学学会老年病学分会骨科专家委员会 中华医学会骨科学分会青年骨质疏松学组 中国医师协会骨科医师分会骨质疏松学组 上海中西医结合学会骨质疏松专业委员会   

  • 收稿日期:2024-02-29 出版日期:2024-05-10 发布日期:2024-05-10
  • 通讯作者: 苏佳灿,Email:drsujiacan@163.com;刘昌胜,Email: liucs@ecust.edu.cn;张英泽,Email:yzling_liu@163.com
  • 基金资助:
    国家重点研发计划(2022YFB3804300);国家重点研发计划(2023YFC2414101);国家自然科学基金重大研究计划集成项目(92249303);上海申康研究型医师创新转化能力培训项目(SHDC2023CRT013);上海市创新医疗器械应用示范项目(23SHS05700)

Expert Consensus on Bone Repair Strategies for Osteoporotic Vertebral Compression Fractures

Orthopedic Expert Committee of Geriatrics Branch of Chinese Association of Gerontology and Geriatrics,Youth Osteoporosis Group of Chinese Orthopedic Association,Osteoporosis Group of Chinese Association of Orthopedic Surgeons,Osteoporosis Committee of Shanghai Association of Chinese Integrative Medicine.   

  • Received:2024-02-29 Online:2024-05-10 Published:2024-05-10

摘要: 骨质疏松性椎体压缩骨折是常见的骨质疏松性骨折类型,轻微外力或无明显外伤即可发生,表现为疼痛、畸形、功能受限,严重影响病人生活质量。椎体压缩骨折复位后产生骨缺损,常需植骨填充修复。手术治疗主要包括经皮椎体强化术与开放性手术。骨水泥强化、合理骨植入及抗拔出内固定是骨修复治疗重要组成。不同类型骨水泥材料和新型椎体强化技术为伤椎骨修复提供更多选择。本共识纳入骨质疏松性椎体压缩骨折流行病学特征,参照文献检索结果及专家调研意见,对常用椎体骨修复材料、椎体骨修复策略以及椎体骨修复术后注意事项等临床中常见争议问题进行阐述,期望可以提升治疗效果,改善病人预后,并推动骨质疏松性椎体压缩骨折骨修复临床规范化治疗。

关键词: 骨质疏松性椎体压缩骨折; 骨修复; 专家共识

Abstract: Osteoporotic vertebral compression fractures is a common type of osteoporotic fractures,often occurring with minimal external force or even without obvious trauma.They manifest as pain,deformity,and functional impairment,significantly impacting patients’ quality of life.Following reduction of vertebral compression fractures,bone defects often occur and typically require bone grafting for repair.Surgical treatments primarily include percutaneous vertebral augmentation and open surgery.Cement augmentation,appropriate bone implantation,and anti-pullout internal fixation are crucial components of bone repair therapy.Different types of cement materials and novel vertebral augmentation techniques offer more options for vertebral fracture repair.This consensus incorporates epidemiological characteristics of osteoporotic vertebral compression fractures,referencing literature search results and expert survey opinions,to address common controversies regarding commonly used vertebral bone repair materials,strategies,and postoperative considerations in clinical practice.It is hoped that this consensus will improve treatment outcomes,enhance patient prognosis,and promote standardized clinical management of osteoporotic vertebral compression fracture repair.

Key words: Osteoporotic Vertebral Compression Fracture; Bone Repair; Expert Consensus

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