摘要
临床上对于骨质疏松性胸腰椎骨折的诊断、治疗理念、治疗方式选择等方面存在较多模糊认识甚至误区。对于骨质疏松性胸腰椎骨折的治疗,首先要把握其核心病理基础,进行必要的检查。治疗方式选择要根据损伤严重程度、患者年龄、骨质条件、损伤部位、骨折类型及伴发伤等因素制订个体化方案,确保手术安全,降低并发症。同时,要关注患者术后功能的改善情况。笔者对骨质疏松性胸腰椎骨折诊疗中的常见误区进行剖析并提出改进建议,为临床治疗提供参考。
There are many vague understandings or misunderstandings in diagnosis,treatment concept and treatment methods of osteoporotic thoracolumbar fractures.For the treatment of osteoporotic thoracolumbar fractures,the first step is to grasp the core pathological basis and conduct necessary examinations.The choice of treatment should be made individually based on the injury severity,age,bone conditions,injury locations,injury types and combined injuries,so as to ensure surgery safety and reduce complications.Meanwhile,the postoperative function improvement of patients'also needs to be cared.The author analyzes the common misunderstandings in diagnosis and treatment of osteoporotic thoracolumbar fractures and proposes improvements to provide reference for clinical treatment.
作者
曾忠友
Zeng Zhongyou(Department of Orthopedics,Hospital of Coast Guard General Corps of Armed Police Forces,Jiaxing 314000,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2020年第7期587-590,共4页
Chinese Journal of Trauma
关键词
骨质疏松
胸椎
腰椎
椎体成形术
Osteoporosis
Thoracic vertebrae
Lumbar vertebrae
Vertebroplasty