title: [Spinal fractures].
abstract: Osteoporotic spinal fractures are typical age-related fragility fractures. Their impact on the quality of life is often underestimated; therefore, anti-osteoporotic drug treatment according to the current guidelines is essential. Occult vertebral fractures may be difficult to detect and a differentiation between fresh and old fractures is often only possible with magnetic resonance imaging (MRI) to reveal cancellous bone edema. Treatment recommendations are predominantly based on traumatic fractures in younger adults and are thus not applicable in orthogeriatrics. A new classification currently under validation and presented in this article was developed in order to aid decision-making for operative interventions. Minimally invasive treatment options include vertebroplasty, kyphopasty and internal fixation. The application of cement provides additional stability but can be accompanied by cement-specific complications, such as extravasation and embolism.
authors.affiliation: Universitätsklinik für Orthopädie und Unfallchirurgie, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg Süd, Breslauer Str. 201, 90471, Nürnberg, Deutschland. biber@klinikum-nuernberg.de.
authors.forename: Roland
authors.initials: R
authors.lastname: Biber
authors.affiliation: Universitätsklinik für Orthopädie und Unfallchirurgie, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg Süd, Breslauer Str. 201, 90471, Nürnberg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Wicklein
authors.affiliation: Universitätsklinik für Orthopädie und Unfallchirurgie, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg Süd, Breslauer Str. 201, 90471, Nürnberg, Deutschland.
authors.forename: H J
authors.initials: HJ
authors.lastname: Bail
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D058866:Osteoporotic Fractures / Q000175:diagnosis* / Q000628:therapy*; D016103:Spinal Fractures / Q000175:diagnosis* / Q000628:therapy*; D054854:Vertebroplasty / Q000379:methods*
keywords: Augmentation; Classification; Kyphoplasty; Osteoporosis; Trauma