Kümmell's病的危险因素和诊治研究进展

Research advances on risk factors,diagnosis and treatment of Kümmell's disease

Kümmell's病是一种在严重骨质疏松症基础上发生的迟发性椎体压缩性骨折,不予重视或治疗不当会造成脊柱后凸畸形以及严重神经症状,给患者生活质量带来巨大打击,并造成沉重的家庭负担。随着人口老龄化和医疗水平的提高,Kümmell's病的发病率和诊断率逐年提升。关于Kümmell's病的诊治新技术层出不穷。从Kümmell's病的历史发展、危险因素、发病机制、诊断、临床分期、治疗选择等6个方面进行阐述,旨在为临床医师提供指导。

Kümmell's disease is post-traumatic delayed vertebral compression fracture that occurs on the basis of severe osteoporosis.Failure to pay attention or improper treatment may cause kyphosis and severe neurological symptoms,which will have a huge blow on patients’quality of life and cause a heavy family burden.With the aging of population and improvement of medical standards,the incidence and diagnosis rate of Kümmell's disease have been increasing.New technologies of diagnosis and treatment are also emerging.This article summarizes the development,risk factors,pathogenesis,diagnosis,clinical stage,treatment options of Kümmell's disease so as to provide guidance for clinicians.