Guideline for the diagnosis and treatment of vertebral refracture after percutaneous vertebral augmentation in elderly patients with osteoporotic thoracolumbar compression fractures (version 2025)
- VernacularTitle:老年骨质疏松性胸腰椎压缩骨折经皮椎体强化术术后椎体再骨折诊疗指南（2025版）
- Author:
Yong YANG
1
;
Xiaoguang ZHOU
;
Qixin CHEN
;
Jian CHEN
;
Jian DONG
;
Liangjie DU
;
Shunwu FAN
;
Jin FAN
;
Zhong FANG
;
Haoyu FENG
;
Shiqing FENG
;
Haishan GUAN
;
Aiguo GAO
;
Yanzheng GAO
;
Yong HAI
;
Da HE
;
Dengwei HE
;
Haiyi HE
;
Dianming JIANG
;
Xuewen KANG
;
Bin LIN
;
Baoge LIU
;
Changqing LI
;
Fang LI
;
Li LI
;
Fangcai LI
;
Weishi LI
;
Xiaoguang LIU
;
Hongjian LIU
;
Xinyu LIU
;
Yong LIU
;
Zhongjun LIU
;
Shibao LU
;
Xuhua LU
;
Fei LUO
;
Yuhai MA
;
Keya MAO
;
Xuexiao MA
;
Bin MENG
;
Xu NING
;
Limin RONG
;
Hongxun SANG
;
Jun SHU
;
Tiansheng SUN
;
Dasheng TIAN
;
Zheng WANG
;
Bing WANG
;
Linfeng WANG
;
Qingde WANG
;
Qinghe WANG
;
Lan WEI
;
Jigong WU
;
Baoshan XU
;
Youjia XU
;
Guoyong YIN
;
Jinglong YAN
;
Feng YAN
;
Cao YANG
;
Huilin YANG
;
Qiang YANG
;
Bin ZHAO
;
Jie ZHAO
;
Yue ZHU
;
Jianguo ZHANG
;
Wenzhi ZHANG
;
Zhongmin ZHANG
;
Zhaomin ZHENG
;
Yan ZENG
;
Baorong HE
;
Wei MEI
Author Information
- Publication Type:Journal Article
- Keywords: Osteoporosis; Spinal fractures; Thoracic vertebrae; Lumbar vertebrae; Practice guideline
- From: Chinese Journal of Trauma 2025;41(7):613-626
- CountryChina
- Language:Chinese
- Abstract: Vertebral refracture following percutaneous vertebral augmentation (PVA) is commonly seen in elderly patients with osteoporotic thoracolumbar compression fractures (OTLCF). It can lead to recurrent pain, loss of vertebral height, progression of kyphosis, and even neurological dysfunction, significantly impairing patients′ quality of life. Current diagnosis and treatment face multiple challenges, including high misdiagnosis rate, difficulty in choosing between surgical and non-surgical treatment options, lack of standardized surgical protocols, interference from intralesional bone cement during procedures, inadequate stability of internal fixation in osteoporotic bone, and suboptimal compliance of anti-osteoporotic therapy. Establishing a standardized diagnostic and therapeutic framework is urgently needed. To standardize the management process and improve outcomes for vertebral refractures after PVA in elderly OTLCF patients, Spinal Trauma Group of the Orthopedic Branch of Chinese Medical Doctor Association organized experts in the field to develop Guideline for the diagnosis and treatment of vertebral refracture after percutaneous vertebral augmentation in elderly patients with osteoporotic thoracolumbar compression fractures ( version 2025), based on current literature and clinical experience, and adhering to principles of scientific rigor and clinical applicability. A total of 11 recommendations were proposed, encompassing diagnosis, treatment, and rehabilitation of vertebral refracture after PVA in elderly patients with OTLCF, aiming to provide a foundation for a standardized management.
