椎体强化术后再发椎体骨折的危险因素分析

Risk factors of newly developed vertebral fractures after vertebral augmentation

随着我国人口老龄化趋势加剧,骨质疏松症的发病率逐渐升高。骨质疏松症进展的最终结局是骨折,其中最为常见是骨质疏松性椎体压缩骨折。近年来椎体强化术被认为是治疗椎体压缩性骨折的有效手段之一,然而术后再发椎体骨折这一严重并发症一直困扰着广大临床工作者。既往国内外学者对术后再骨折的发生率及危险因素均做了相应分析,但是各方面的争议一直不断。因此,笔者通过文献复习,从患者的一般情况、骨质疏松严重程度及是否行规律抗骨质疏松治疗、实施手术干预的影响等方面对椎体强化术后再发椎体骨折的危险因素做一综述,以期总结经验,为今后的临床研究提供参考。

With the increasing trend of population aging in China,the incidence of osteoporosis is increasing gradually.The ultimate outcome of osteoporosis progression is fracture,the most common of which is osteoporotic vertebral compression fracture.In recent years,vertebral augmentation is considered as one of the effective methods to treat vertebral compression fracture.In the past,domestic and foreign scholars have made corresponding analysis on the incidence and risk factors of postoperative re-fracture.Therefore,through the literature review,from the patients'general situations,severity of osteoporosis and whether line rules anti osteoporosis treatment to be done,the influence of surgical intervention,we made literature reviews in order to sum up experiences and analysis,provide references for the clinical research in the future.