症状性陈旧性胸腰椎骨质疏松性骨折手术治疗临床指南  

Clinical guideline for surgical treatment of symptomatic chronic osteoporotic vertebral fractures

作　　者：陈伯华[1] 陈其昕[2] 程黎明[3] 初同伟 邓忠良[5] 董健[6] 冯皓宇 冯世庆[8] 范顺武[9] 高延征[10] 官众[11] 海涌[12] 郝定均[13] 贺宝荣[13] 蒋电明 姜建元[15] 李淳德[16] 李放 李锋[18] 李利[19] 李危石[20] 李中实[21] 廖琦[22] 刘斌[23] 刘国栋 刘晓光[20] 刘忠军[20] 鲁世保[25] 马信龙[26] 戎利民[27] 沈慧勇[28] 申勇[29] 舒钧[30] 宋跃明[31] 孙天胜 田纪伟 王欢[33] 夏虹 许建中 许正伟[13] 杨惠林[36] 赵杰[37] 周跃 朱悦[38] Chen Bohua;Chen Qixin;Cheng Liming;Chu Tongwei;Deng Zhongliang;Dong Jian;Feng Haoyu;Feng Shiqing;Fan Shunwu;Gao Yanzheng;Guan Zhong;Hai Yong;Hao Dingjun;He Baorong;Jiang Dianming;Jiang Jianyuan;Li Chunde;Li Fang;Li Feng;Li Li;Li Weishi;Li Zhongshi;Liao Qi;Liu Bin;Liu Guodong;Liu Xiaoguang;Liu Zhongjun;Lu Shibao;Ma Xinlong;Rong Limin;Shen Huiyong;Shen Yong;Shu Jun;Song Yueming;Sun Tiansheng;Tian Jiwei;Wang Huan;Xia Hong;Xu Jianzhong;Xu Zhengwei;Yang Huilin;Zhao Jie;Zhou Yue;Zhu Yue(Affiliated Hospital of Qingdao University,Qingdao 266000,China;Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Tongji Hospital of Tongji University,Shanghai 200065,China;Xinqiao Hospital of Army Medical University,Chongqing 400037,China;Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Zhongshan Hospital of Fudan University,Shanghai 200032,China;Shanxi Bethune Hospital,Taiyuan 030032 China;General Hospital of Tianjin Medical University,Tianjin 300052,China;Sir Run Run Shaw Hospital of Zhejiang University School of Medicine,Hangzhou 310016,China;Henan Provincial People's Hospital,Zhengzhou 450003,China;Affiliated Hospital of Qinghai University,Xining 810001,China;Beijing Chao-Yang Hospital of Capital Medical University,Beijing 100043,China;Honghui Hospital of Xi'an Jiaotong University Medical College,Xi'an 710054,China;Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China;Huashan Hospital of Fudan University,Shanghai 200040,China;First Hospital of Peking University,Beijing 100034,China;Seventh Medical Center of PLA General Hospital,Beijing 100700,China;Tongji Hospital of Tongji Medical College of Huazhong University of Science&Technology,Wuhan 430030,China;Fourth Medical Center of PLA General Hospital,Beijing 100048,China;Third Hospital of Peking University,Beijing 100191,China;China-Japan Friendship Hospital,Beijing 100029,China;Second Affiliated Hospital of Nanchang University,Nanchang 330006,China;Guangdong Provincial People's Hospita

机构地区：[1]青岛大学附属医院,266000 [2]浙江大学医学院附属第二医院,杭州310009 [3]同济大学附属同济医院,上海200065 [4]陆军军医大学新桥医院,重庆400037 [5]重庆医科大学附属第二医院,400010 [6]复旦大学附属中山医院,上海200032 [7]山西白求恩医院,太原030032 [8]天津医科大学总医院,300052 [9]浙江大学医学院邵逸夫医院,杭州310016 [10]河南省人民医院,郑州450003 [11]青海大学附属医院,西宁810001 [12]首都医科大学附属北京朝阳医院,100043 [13]西安交通大学医学院附属红会医院,710054 [14]重庆医科大学附属第三医院,401120 [15]复旦大学附属华山医院,上海200040 [16]北京大学第一医院,100034 [17]解放军总医院第七医学中心,100700 [18]华中科技大学同济医学院附属同济医院,武汉430030 [19]解放军总医院第四医学中心,北京100048 [20]北京大学第三医院,100191 [21]中日友好医院,北京100029 [22]南昌大学第二附属医院,330006 [23]广东省人民医院,广州510080 [24]陆军军医大学大坪医院,重庆400042 [25]首都医科大学宣武医院,北京100053 [26]天津医院,300211 [27]中山大学附属第三医院,广州510620 [28]中山大学附属第八医院,广州518033 [29]河北医科大学第三医院,石家庄050051 [30]昆明医科大学第二附属医院,650101 [31]四川大学华西医院,成都610041 [32]南京江北人民医院,210048 [33]中国医科大学附属盛京医院,沈阳110004 [34]解放军南部战区总医院,广州510011 [35]陆军军医大学西南医院,重庆400038 [36]苏州大学附属第一医院,215006 [37]上海交通大学医学院附属第九人民医院,200011 [38]中国医科大学附属第一医院,沈阳110001

出　　处：《中华创伤杂志》2020年第7期577-586,共10页Chinese Journal of Trauma

摘　　要：症状性陈旧性胸腰椎骨质疏松性骨折(SCOVF)的病理特点不同,临床采取的治疗方法也不同,包括椎体强化术、前后路固定融合术、后路减压固定融合术及后路截骨矫形术等。但如何选择合适的治疗方法,尚缺乏统一的认识。为了及时反映SCOVF的治疗新理念和循证医学进展,规范其治疗,本指南遵循科学性、实用性和先进性的原则,基于循证医学证据等级,提出手术治疗建议。According to the pathological characteristics of symptomatic chronic thoracic and lumbar osteoporotic vertebral fracture(SCOVF),the different clinical treatment methods are selected,including vertebral augmentation,anterior-posterior fixation and fusion,posterior decompression fixation and fusion,and posterior correction osteotomy.However,there is still a lack of a unified understanding on how to choose appropriate treatment method for SCOVF.In order to reflect the new treatment concept and the evidence-based medicine progress of SCOVF in a timely manner and standardize its treatment,the clinical guideline for surgical treatment of SCOVF is formulated in compliance with the principle of scientificity,practicability and advancement and based on the level of evidence-based medicine.

关 键 词：骨质疏松性骨折 胸椎 腰椎 外科手术 实践指南 

分 类 号：R687.3[医药卫生—骨科学]