[Surgical therapy of osteoporotic vertebral body fractures].
Osteoporosis is an age-related systemic disease leading to increased bone fragility. The vertebral bodies of the transitional area between the thoracic and lumbar spine are often involved. A large number of unreported or late-diagnosed fractures have to be assumed. If risk factors such as advanced age or comorbidities are present in the case of new-onset back pain, an osteoporotic vertebral body fracture as a possible cause has to be considered. This sets the diagnostic workup in motion, consisting of clinical and radiological examinations. In addition to conservative treatment, minimal invasive cement augmentation of the fracture via vertebroplasty or kyphoplasty is an option. Open surgical procedures, feared by older patients and their physicians, are rarely necessary. Of utmost importance after dealing with the fracture is the subsequent treatment of the underlying osteoporotic disease to prevent the occurrence of further fractures.
Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V.-Allee 3, 93077, Bad Abbach. d.boluki@asklepios.com
D
D
Boluki
D005593:Fracture Fixation, Internal / Q000639:trends*; D006801:Humans; D058866:Osteoporotic Fractures / Q000601:surgery*; D016103:Spinal Fractures / Q000601:surgery*; D013123:Spinal Fusion / Q000639:trends*; D013131:Spine / Q000601:surgery*
J Bone Miner Res. 1996 Jul;11(7):984-96
8797120
Z Rheumatol. 2010 Jul;69(5):454-6
20506022
Bone. 2003 Oct;33(4):505-13
14555253
Orthopade. 2009 Jul;38(7):606-15
19517091
Skeletal Radiol. 2010 Oct;39(10):943-55
20563801
Eur Spine J. 2007 Aug;16(8):1085-100
17277923
Lancet. 2009 Mar 21;373(9668):1016-24
19246088
N Engl J Med. 2009 Aug 6;361(6):569-79
19657122
Orthopade. 2010 Apr;39(4):371-9
20225128
Osteoporos Int. 2007 Jan;18(1):77-84
17048064
Eur Spine J. 1994;3(4):184-201
7866834
Neurochirurgie. 1987;33(2):166-8
3600949
N Engl J Med. 2009 Aug 6;361(6):557-68
19657121