Stepwise and precise therapy for osteoporotic thoracolumbar fracture
10.3760/cma.j.cn501098-20210117-00043
- VernacularTitle:骨质疏松性胸腰椎骨折的阶梯化和精准化治疗
- Author:
Baorong HE
1
;
Bolong ZHENG
Author Information
1. 西安交通大学附属红会医院脊柱病医院 710054
- Keywords:
Osteoporotic fractures;
Spinal injuries;
Stepwise therapy;
Precision therapy
- From:
Chinese Journal of Trauma
2021;37(6):488-493
- CountryChina
- Language:Chinese
-
Abstract:
The osteoporotic thoracolumbar fracture (OTLF) accounts for nearly half of all osteoporotic fracture. Although this kind of fracture is more likely to heal spontaneously, some patients may experience complications such as chronic lower back pain, decreased pulmonary function, kyphosis, neurological dysfunction and mobility problems. Some relevant guidelines and expert consensus on osteoporosis and OTLF have been made at home and abroad, but there still exists a great controversy regarding the choice of treatment options for OTLF. Therefore, by summarizing the treatment progress of OTLF, the authors put forward the viewpoint of stepwise treatment of OTLF from the two aspects of the choice of treatment mode and the choice of surgical plan. At the same time, the concept of precision treatment is proposed, including accurate diagnosis, accurate treatment and application of intraoperative digital assistive technology, to provide a reference for clinicians to reasonably choose treatment methods.
