Diagnosis and treatment of patients with osteoporotic thoracolumbar fracture at very high-risk: a review
10.3760/cma.j.cn501098-20250218-00089
- VernacularTitle:骨质疏松性胸腰椎极高骨折风险患者的诊疗研究进展
- Author:
Songchuan ZHAO
1
;
Liang YAN
1
;
Baorong HE
1
Author Information
1. 西安交通大学附属红会医院脊柱病院，西安 710054
- Publication Type:Journal Article
- Keywords:
Osteoporosis;
Spinal fractures;
Thoracic vertebrae;
Lumbar vertebrae;
Very high-risk
- From:
Chinese Journal of Trauma
2025;41(8):798-804
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of osteoporotic fractures has demonstrated a significant upward trend, with osteoporotic thoracolumbar fracture accounting for nearly 50% of all the osteoporotic fractures. Following osteoporotic thoracolumbar fracture, the patients face significantly increased risks of disability and even mortality, severely compromising their quality of life and overall health. In recent years, the proposal and application of the concept of very high risk of fracture in osteoporosis have provided new perspectives for stratified treatment approaches in osteoporosis management. Study results demonstrate that fracture risk stratification-based treatment strategies can maximize clinical benefits for osteoporosis patients. However, osteoporosis management in China faces significant challenges characterized by high disease prevalence yet low awareness, diagnosis, and treatment rates, creating substantial barriers to implementing stratified care. To improve the screening and clinical management of very high fracture-risk patients, the authors reviewed the research progress in the diagnosis and treatment of patients with very high risk of osteoporotic thoracolumbar fracture, aiming to provide evidence-based references for formulating treatment strategies for such patients.
