《急性症状性骨质疏松性胸腰椎压缩骨折椎体强化术临床指南》要点解读  

Interpretation of"clinical guideline for vertebral augmentation for acute symptomatic thoracolumbar osteoporotic compression fractures"

作　　者：郑博隆[1] 郝定均[1] 贺宝荣[1] Zheng Bolong;Hao Dingjun;He Baorong(Department of Spine Surgery,Honghui Hospital,Xi′an Jiaotong University College of Medicine,Xi′an 710054,China)

机构地区：[1]西安交通大学医学院附属红会医院脊柱外科,西安710054

出　　处：《中华创伤杂志》2022年第5期385-388,共4页Chinese Journal of Trauma

摘　　要：随着我国人口老龄化,急性症状性胸腰椎骨质疏松性压缩骨折(ASTOCFs)的发病率显著增高,而椎体强化术因其具有微创、安全和有效的特点得到了广泛应用。但是对于ASTOCFs在诊断和治疗上的诸多问题仍存在争议。为规范ASTOCFs的诊断和治疗,《中华创伤杂志》编辑委员会联合中国医师协会骨科学分会脊柱创伤专业委员会的专家组制订了《急性症状性骨质疏松性胸腰椎压缩骨折椎体强化术临床指南》(以下简称《指南》)。《指南》针对此类骨折中椎体强化术应用的关键问题提出了基于循证医学证据的建议。鉴于不同级别医疗机构的骨科医师对《指南》的理解程度不一,笔者就《指南》中的诊治要点进行深入解读,帮助临床医师更好地理解《指南》并指导临床实践。The incidence of acute symptomatic thoracolumbar osteoporotic compression fractures(ASTOCFs)has increased significantly with population aging in China.Vertebral augmentation has been widely used because of its minimally invasive,safe and effective characteristics.However,many problems in the diagnosis and treatment of ASTOCFs remain controversial.In order to standardize the diagnosis and treatment of ASTOCFs,the editorial board of"Chinese Journal of Trauma"and expert panel of Spinal Trauma Committee of Orthopedics Branch of Chinese Medical Doctor Association formulated the"clinical guidelines for vertebral augmentation for acute symptomatic thoracolumbar osteoporotic compression fractures"(hereafter referred to as the"guideline").The guideline provided evidence-based recommendations on key issues regarding the use of vertebral augmentation in such fracture.Since orthopedic surgeons at different levels of medical institutions have different understanding of the guideline,the authors made an in-depth interpretation of some key points in the guideline to help clinicians better understand the guideline and guide clinical practice.

关 键 词：骨质疏松 脊柱骨折 胸椎 腰椎 椎体成形术 后凸成形术 解读 

分 类 号：R687.3[医药卫生—骨科学]