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.
作者
眭涛
陈建
黄振飞
胡志毅
蔡卫华
余利鹏
曹晓建
周炜
李青青
凡进
王前
唐鹏宇
赵书杰
陈林
崔志明
丁文元
冯世庆
冯新民
高延征
贺宝荣
霍建忠
李海俊
刘军
罗飞
马超
乔之军
王强
王守国
吴小涛
徐南伟
闫景龙
叶招明
袁峰
袁即山
赵杰
周晓中
武梦圆
任永信
殷国勇
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)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2022年第12期1057-1066,共10页
Chinese Journal of Trauma
关键词
骨质疏松性骨折
胸椎
腰椎
实践指南
Osteoporotic fractures
Thoracic vertebrae
Lumbar vertebrae
Practice guide
作者简介
通信作者:任永信,Email:renyongxin@aliyun.com,电话:13585162283;通信作者:殷国勇,Email:guoyong_yin@sina.com,电话:13675185445。
