Osteoporotic vertebral fracture-the evolution of classification and progress in treatment

doi:10.3877/cma.j.issn.2096-0263.2024.05.009

Abstract

Abstract:

Osteoporotic vertebral fracture (OVF) is the most common type of fragility fracture, characterized by a high incidence rate, frequent misdiagnosis, and significant mortality and disability rates. In recent years, the classification and scoring system for cervical and thoracolumbar fractures caused by trauma has been widely used in clinical practice, leading to standardized treatment approaches for these conditions to some extent. However, the classification and treatment guidelines of OVF are still being explored. This paper provides a comprehensive review of several important OVF classifications that have emerged since the 1960s, particularly focusing on recent domestic and international advancements in OVF classifications as well as their influential impact on guiding OVF treatment. The aim is to offer valuable references for scholars engaged in related work and research.

Key words: Osteoporosis, Osteoporotic vertebral fracture, Classification, treatment

Rui Zhou, Fei Luo. Osteoporotic vertebral fracture-the evolution of classification and progress in treatment[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(05): 315-320.

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Figures/Tables 11

References 27

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参数	等级	评分
骨折分型（OF 1-5型）	1-5	2-10
BMD	T-值<-3	1
骨折进展	是/否	1；-1
疼痛（镇痛条件下）	VAS ≥ 4；<4	1；-1
神经损害	是	2
活动（镇痛条件小）	否；是	1；-1
健康状态	ASA>3；痴呆；BMD<20 kg/m²；护理；使用抗凝药物	每项-1，最多-2

参数	等级	评分
骨折分型（OF 1-5型）	1-5	2-10
BMD	T-值<-3	1
骨折进展	是/否	1；-1
疼痛（镇痛条件下）	VAS ≥ 4；<4	1；-1
神经损害	是	2
活动（镇痛条件小）	否；是	1；-1
健康状态	ASA>3；痴呆；BMD<20 kg/m²；护理；使用抗凝药物	每项-1，最多-2

评估项目	分值
形态学改变
正常	0
压缩骨折	1
爆裂骨折	2
MRI检查
正常	0
长T1长T2信号改变	1
椎体内真空现象或者积液征	2
骨密度
T值>-2.5	0
-2.5>T值>-3.5	1
T值<-3.5	2
临床表现
无明显痛	0
腰背痛（体位改变诱发痛）	1
持续性痛/脊髓损伤	2

评估项目	分值
形态学改变
正常	0
压缩骨折	1
爆裂骨折	2
MRI检查
正常	0
长T1长T2信号改变	1
椎体内真空现象或者积液征	2
骨密度
T值>-2.5	0
-2.5>T值>-3.5	1
T值<-3.5	2
临床表现
无明显痛	0
腰背痛（体位改变诱发痛）	1
持续性痛/脊髓损伤	2

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