随着全球各国逐渐步入老龄化社会,骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture, OVCF)的发病率越来越高,患者主要表现为腰背部的疼痛、活动受限,这严重影响患者的生活质量,所以早期诊断及治疗相当关键,目前...随着全球各国逐渐步入老龄化社会,骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture, OVCF)的发病率越来越高,患者主要表现为腰背部的疼痛、活动受限,这严重影响患者的生活质量,所以早期诊断及治疗相当关键,目前有几种不同的治疗策略:保守治疗、微创手术及传统开放性手术治疗。目前临床医生大多首选微创手术治疗,因其治疗效果好且见效快,但针对各种不同实际病情的患者,要选择适合患者的治疗方案。近些年来,为了患者获得更好的预后,医生们也不断对每种治疗方式研究改进,该文旨在对OVCF的治疗进展作一综述。With the aging of the world, the incidence of osteoporotic vertebral compression fracture (OVCF) is increasing. The main manifestations of patients are pain in the lower back and limited activity, which seriously affect the quality of life of patients. So the key to early diagnosis and treatment of quite, there are several different treatment strategies: conservative treatment, minimally invasive surgery and traditional open surgery. At present, most clinicians prefer minimally invasive surgery because of its good therapeutic effect and quick effect. However, for patients with different actual conditions, we should choose the appropriate treatment plan for the patient. In recent years, in order to get better prognosis patients, doctors and continuous improvement for each treatment study, this paper aims to review summarized the progress in treatment of OVCF.展开更多
2010年,欧洲老年人肌少症工作组( European working group on sarcopenia in older people,EWGSOP)公布了肌肉减少症(简称肌少症)的定义:一种与年龄相关的衰弱状态,其特征是骨骼肌质量和力量的进行性和广泛性丧失[1]。2016年,它被列为...2010年,欧洲老年人肌少症工作组( European working group on sarcopenia in older people,EWGSOP)公布了肌肉减少症(简称肌少症)的定义:一种与年龄相关的衰弱状态,其特征是骨骼肌质量和力量的进行性和广泛性丧失[1]。2016年,它被列为一种独立疾病;到目前为止关于肌少症与脊柱疾病之间关系的研究很少,它在世界范围内的患病率约为10%[2]。随着亚洲、欧洲肌少症工作组等组织共识的不断更新以及世界各地对肌少症的发病率、诊断、治疗的不断深入研究,越来越多的研究者发现脊柱退变性疾病的病情进展及手术预后与肌少症有关,是脊柱手术术前优化患者的潜在目标,也是术后结果的预测指标,脊柱退变性疾病合并肌少症患者的临床特点以及手术预后有着的很大的研究潜力,部分文献已经在肌肉减少症和脊柱退变性疾病(如椎管狭窄、退变性脊柱畸形等)之间建立了联系。本文旨在通过回顾现有文献总结脊柱退变性疾病及手术患者与肌少症的相关性研究进展。展开更多
文摘随着全球各国逐渐步入老龄化社会,骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture, OVCF)的发病率越来越高,患者主要表现为腰背部的疼痛、活动受限,这严重影响患者的生活质量,所以早期诊断及治疗相当关键,目前有几种不同的治疗策略:保守治疗、微创手术及传统开放性手术治疗。目前临床医生大多首选微创手术治疗,因其治疗效果好且见效快,但针对各种不同实际病情的患者,要选择适合患者的治疗方案。近些年来,为了患者获得更好的预后,医生们也不断对每种治疗方式研究改进,该文旨在对OVCF的治疗进展作一综述。With the aging of the world, the incidence of osteoporotic vertebral compression fracture (OVCF) is increasing. The main manifestations of patients are pain in the lower back and limited activity, which seriously affect the quality of life of patients. So the key to early diagnosis and treatment of quite, there are several different treatment strategies: conservative treatment, minimally invasive surgery and traditional open surgery. At present, most clinicians prefer minimally invasive surgery because of its good therapeutic effect and quick effect. However, for patients with different actual conditions, we should choose the appropriate treatment plan for the patient. In recent years, in order to get better prognosis patients, doctors and continuous improvement for each treatment study, this paper aims to review summarized the progress in treatment of OVCF.
文摘2010年,欧洲老年人肌少症工作组( European working group on sarcopenia in older people,EWGSOP)公布了肌肉减少症(简称肌少症)的定义:一种与年龄相关的衰弱状态,其特征是骨骼肌质量和力量的进行性和广泛性丧失[1]。2016年,它被列为一种独立疾病;到目前为止关于肌少症与脊柱疾病之间关系的研究很少,它在世界范围内的患病率约为10%[2]。随着亚洲、欧洲肌少症工作组等组织共识的不断更新以及世界各地对肌少症的发病率、诊断、治疗的不断深入研究,越来越多的研究者发现脊柱退变性疾病的病情进展及手术预后与肌少症有关,是脊柱手术术前优化患者的潜在目标,也是术后结果的预测指标,脊柱退变性疾病合并肌少症患者的临床特点以及手术预后有着的很大的研究潜力,部分文献已经在肌肉减少症和脊柱退变性疾病(如椎管狭窄、退变性脊柱畸形等)之间建立了联系。本文旨在通过回顾现有文献总结脊柱退变性疾病及手术患者与肌少症的相关性研究进展。
