The Treatment of Symptomatic Osteoporotic Spinal Compression Fractures

被引：69

作者：

Esses, Stephen I. ^{[1
]}

McGuire, Robert ^{[3
]}

Jenkins, John ^{[2
]}

Finkelstein, Joel ^{[4
]}

Woodard, Eric ^{[5
]}

Watters, William C., III ^{[6
]}

Goldberg, Michael J. ^{[7
]}

Keith, Michael

Turkelson, Charles M. ^{[8
]}

Wies, Janet L. ^{[8
]}

Sluka, Patrick ^{[8
]}

Boyer, Kevin M. ^{[8
]}

Hitchcock, Kristin ^{[8
]}

机构：

[1] SW Orthoped Grp, Houston, TX USA

[2] Univ Mississippi, Med Ctr, Dept Med, Div Rheumatol & Mol Immunol, Jackson, MS 39216 USA

[3] Univ Mississippi, Med Ctr, Dept Orthoped Surg & Rehabil, Jackson, MS 39216 USA

[4] Sunnybrook Hlth Sci Ctr, Toronto, ON M4N 3M5, Canada

[5] New England Baptist Hosp, Boston, MA USA

[6] Bone & Joint Clin Houston, Houston, TX USA

[7] Seattle Childrens Hosp, Dept Orthoped & Sports Med, Seattle, WA USA

[8] Amer Acad Orthopaed Surg, Dept Res & Sci Affairs, Rosemont, IL USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2011年 / 19卷 / 03期

关键词：

QUALITY-OF-LIFE; VERTEBRAL FRACTURES; POSTMENOPAUSAL OSTEOPOROSIS; RANDOMIZED-TRIAL; PERCUTANEOUS VERTEBROPLASTY; BACK-PAIN; WOMEN; CALCITONIN; KYPHOPLASTY; OUTCOMES;

D O I：

10.5435/00124635-201103000-00007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This clinical practice guideline is based on a series of systematic reviews of published studies on the treatment of symptomatic osteoporotic spinal compression fractures. Of 11 recommendations, one is strong; one, moderate; three, weak; and six, inconclusive. The strong recommendation is against the use of vertebroplasty to treat the fractures; the moderate recommendation is for the use of calcitonin for 4 weeks following the onset of fracture. The weak recommendations address the use of ibandronate and strontium ranelate to prevent additional symptomatic fractures, the use of L2 nerve root blocks to treat the pain associated with L3 or L4 fractures, and the use of kyphoplasty to treat symptomatic fractures in patients who are neurologically intact.

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收藏

页码：176 / 182

页数：7

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