Clinical guideline for diagnosis and treatment of nonunion of osteoporotic vertebral fractures (version 2025)
- VernacularTitle:骨质疏松性椎体骨折不愈合临床诊疗指南（2025版）
- Author:
Haipeng SI
1
;
Le LI
;
Junjie NIU
;
Wencan ZHANG
;
Fuxin WEI
;
Jinqiu YUAN
;
Qiang YANG
;
Hongli WANG
;
Guangchao WANG
;
Shihong CHEN
;
Yunzhen CHEN
;
Xiaoguang CHENG
;
Jianwen DONG
;
Shiqing FENG
;
Rui GU
;
Yong HAI
;
Tianyong HOU
;
Bo HUANG
;
Xiaobing JIANG
;
Lei ZANG
;
Chunhai LI
;
Nianhu LI
;
Hua LIN
;
Hongjian LIU
;
Peng LIU
;
Xinyu LIU
;
Sheng LU
;
Shibao LU
;
Chunshan LUO
;
Lvy CHAOLIANG
;
Lvy WEIJIA
;
Xuexiao MA
;
Wei MEI
;
Chunyang MENG
;
Cailiang SHEN
;
Chunli SONG
;
Ruoxian SONG
;
Jiacan SU
;
Honglin TENG
;
Hui SHENG
;
Beiyu WANG
;
Bingwu WANG
;
Liang WANG
;
Xiangyang WANG
;
Nan WU
;
Guohua XU
;
Yayi XIA
;
Jin XU
;
Youjia XU
;
Jianzhong XU
;
Cao YANG
;
Maowei YANG
;
Zibin YANG
;
Xiaojian YE
;
Hailong YU
;
Xijie YU
;
Hua YUE
;
Zhili ZENG
;
Xinli ZHAN
;
Hui ZHANG
;
Peixun ZHANG
;
Wei ZHANG
;
Zhenlin ZHANG
;
Jianguo ZHANG
;
Tengyue ZHU
;
Qiang LIU
;
Huilin YANG
Author Information
- Publication Type:Journal Article
- Keywords: Osteoporosis; Spinal fractures; Fractures, ununited; Guidebooks
- From: Chinese Journal of Trauma 2025;41(10):932-945
- CountryChina
- Language:Chinese
- Abstract: Nonunion of osteoporotic vertebral fractures (OVF), predominantly affecting the elderly, can lead to intractable pain, vertebral collapse, progressive kyphotic deformity, and neurological impairment, significantly compromising patients′ quality of life. There exists considerable debate on diagnosis and management of OVF, encompassing key issues such as clinical diagnosis and staging criteria for nonunion, surgical indications and procedure selection, and postoperative rehabilitation planning. Currently, there lacks standardized clinical guideline and expert consensus on the diagnosis and management of OVF nonunion in China. To address this gap, Minimally Invasive Surgery Group of Chinese Orthopedic Association, Osteoporosis Committee of Chinese Association of Orthopedic Surgeons, Prevention and Rehabilitation Committee for Osteoporosis of Chinese Association of Rehabilitation Medicine and Minimally Invasive Orthopedic Surgery Branch of China Association for Geriatric Care jointly organized domestic experts in spinal surgery, endocrinology, and rehabilitation to formulate the Clinical guideline for the diagnosis and treatment for nonunion of osteoporotic vertebral fractures ( version 2025), based on existing literature and clinical experience and adhering to principles of scientific rigor and practicality. The guideline provided 13 evidence-based recommendations encompassing diagnosis and treatment of OVF nonunion, aiming to standardize its clinical management.
