老年骨质疏松性胸腰椎骨折后脊柱重建临床指南(2022版)  

Clinical guideline for spinal reconstruction of osteoporotic thoracolumbar fracture in elderly patients(version 2022)

作　　者：眭涛[1] 陈建[1] 黄振飞 胡志毅[1] 蔡卫华[1] 余利鹏[1] 曹晓建[1] 周炜[1] 李青青[1] 凡进[1] 王前[1] 唐鹏宇 赵书杰 陈林 崔志明[3] 丁文元[4] 冯世庆 冯新民[6] 高延征[7] 贺宝荣[8] 霍建忠 李海俊[10] 刘军[11] 罗飞 马超[13] 乔之军 王强[15] 王守国[16] 吴小涛[17] 徐南伟[18] 闫景龙[19] 叶招明[20] 袁峰 袁即山 赵杰[23] 周晓中[24] 武梦圆 任永信[1] 殷国勇[1] Sui Tao;Chen Jian;Huang Zhenfei;Hu Zhiyi;Cai Weihua;Yu Lipeng;Cao Xiaojian;Zhou Wei;Li Qingqing;Fan Jin;Wang Qian;Tang Pengyu;Zhao Shujie;Chen Lin;Cui Zhiming;Ding Wenyuan;Feng Shiqing;Feng Xinmin;Gao Yanzheng;He Baorong;Huo Jianzhong;Li Haijun;Liu Jun;Luo Fei;Ma Chao;Qiao Zhijun;Wang Qiang;Wang Shouguo;Wu Xiaotao;Xu Nanwei;Yan Jinglong;Ye Zhaoming;Yuan Feng;Yuan Jishan;Zhao Jie;Zhou Xiaozhong;Wu Mengyuan;Ren Yongxin;Yin Guoyong(First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Daping Hospital,Army Medical University,Chongqing 400042,China;Nantong First People′s Hospital,Nantong 226001,China;Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Second Hospital of Shandong University,Jinan 250031,China;Northern Jiangsu People′s Hospital,Yangzhou 225001,China;Henan Provincial People′s Hospital,Zhengzhou 450003,China;Honghui Hospital,Xi′an Jiaotong University,Xi′an 710054,China;Taiyuan Hospital,Peking University First Hospital(Taiyuan Central Hospital),Taiyuan 030006,China;Taizhou People′s Hospital,Taizhou 225300,China;Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China;Southwest Hospital,Army Medical University,Chongqing 400038,China;Xuzhou Central Hospital,Xuzhou 221009,China;Liyang People′s Hospital,Liyang 213300,China;Yixing People′s Hospital,Yixing 214200,China;Huai′an First People′s Hospital,Huai′an 223300,China;Zhongda Hospital,Southeast University,Nanjing 210009,China;Changzhou Second People′s Hospital,Changzhou 213003,China;Second Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Affiliated Hospital of Xuzhou Medical University,Xuzhou 221006,China;Zhenjiang First People′s Hospital,Zhenjiang 212002,China;Shanghai Ninth People′s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China;Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]南京医科大学第一附属医院,南京210029 [2]陆军军医大学大坪医院,重庆400042 [3]南通市第一人民医院,南通226001 [4]河北医科大学第三医院,石家庄050051 [5]山东大学第二医院,济南250031 [6]江苏省苏北人民医院,扬州225001 [7]河南省人民医院,郑州450003 [8]西安交通大学附属红会医院,西安710054 [9]北京大学第一医院太原医院(太原市中心医院),太原030006 [10]泰州市人民医院,泰州225300 [11]南京医科大学第二附属医院,南京210011 [12]陆军军医大学西南医院,重庆400038 [13]徐州市中心医院,徐州221009 [14]溧阳市人民医院,溧阳213300 [15]宜兴市人民医院,宜兴214200 [16]淮安市第一人民医院,淮安223300 [17]东南大学附属中大医院,南京210009 [18]常州市第二人民医院,常州213003 [19]哈尔滨医科大学附属第二医院,哈尔滨150001 [20]浙江大学医学院附属第二医院,杭州310009 [21]徐州医科大学附属医院,徐州221006 [22]镇江市第一人民医院,镇江212002 [23]上海交通大学医学院附属第九人民医院,上海200011 [24]苏州大学附属第二医院,苏州215004

出　　处：《中华创伤杂志》2022年第12期1057-1066,共10页Chinese Journal of Trauma

摘　　要：老年骨质疏松性胸腰椎骨折将严重降低患者的生活质量和缩短预期寿命。对于老年骨质疏松性胸腰椎骨折,需要行脊柱重建治疗,在制订治疗方案时需综合考虑患者身体状况、骨折类型、临床特点及骨质疏松程度等因素,但目前对脊柱重建策略选择缺乏相关临床规范或指南。为规范老年骨质疏松性胸腰椎骨折脊柱重建方法,笔者遵循科学性、实用性和先进性原则,制订了《老年骨质疏松性胸腰椎骨折后脊柱重建临床指南(2022版)》,对老年骨质疏松性胸腰椎骨折后脊柱重建中最为重要的骨折分型、非手术治疗策略、手术治疗策略等10个相关问题提出了基于循证医学证据的建议,为临床治疗提供参考。Osteoporotic thoracolumbar fracture in the elderly will seriously reduce their quality of life and life expectancy.For osteoporotic thoracolumbar fracture in the elderly,spinal reconstruction is necessary,which should comprehensively consider factors such as the physical condition,fracture type,clinical characteristics and osteoporosis degree.While there lacks relevant clinical norms or guidelines on selection of spinal reconstruction strategies.In order to standardize the concept of spinal reconstruction for osteoporotic thoracolumbar fracture in the elderly,based on the principles of scientificity,practicality and progressiveness,the authors formulated the Clinical guideline for spinal reconstruction of osteoporotic thoracolumbar fracture in elderly patients(version 2022),in which suggestions based on evidence of evidence-based medicine were put forward upon 10 important issues related to the fracture classification,non-operative treatment strategies and surgical treatment strategies in spinal reconstruction after osteoporosis thoracolumbar fracture in the elderly,hoping to provide a reference for clinical treatment.

关 键 词：骨质疏松性骨折 胸椎 腰椎 实践指南 

分 类 号：R683[医药卫生—骨科学]