Osteoporosis Evaluation and Management in Spine Surgery.

IF 2.6 2区 医学 Q1 ORTHOPEDICS
Steven J Girdler, Matthew H Lindsey, Arjun S Sebastian, Ahmad Nassr
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引用次数: 0

Abstract

Osteoporosis is a global health problem affecting over 200 million people worldwide and 54 million adults in the United States. Approximately half of all postmenopausal women will have an osteoporosis-related fracture during their lifetime. In the United States, the direct medical cost related to osteoporosis is expected to exceed $25 billion by 2025. Management of osteoporosis in vertebral fractures and elective spine surgery is of the utmost concern, given the high prevalence of osteoporosis in the general population and the increased risk of complication in this population. New pharmacologic treatment options such as anabolic medications and diagnostic tools including Hounsfield unit measurements on routine computed tomography scans are available to orthopaedic and spinal surgeons to help best manage this condition. This review serves as an update to diagnosis, management, and treatment of patients with osteoporosis undergoing spinal surgery.

脊柱手术中的骨质疏松症评估和管理。
骨质疏松症是一个全球性的健康问题,影响着全球 2 亿多人和美国 5400 万成年人。大约一半的绝经后妇女在其一生中会发生与骨质疏松症相关的骨折。在美国,预计到 2025 年,与骨质疏松症相关的直接医疗费用将超过 250 亿美元。鉴于骨质疏松症在普通人群中的高发病率以及该人群并发症风险的增加,在脊椎骨折和脊柱择期手术中对骨质疏松症的管理是最值得关注的问题。骨科和脊柱外科医生可以使用新的药物治疗方案(如同化药物)和诊断工具(包括常规计算机断层扫描中的 Hounsfield 单位测量值)来帮助更好地控制这种情况。本综述将为接受脊柱手术的骨质疏松症患者提供最新的诊断、管理和治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
6.20%
发文量
529
审稿时长
4-8 weeks
期刊介绍: The Journal of the American Academy of Orthopaedic Surgeons was established in the fall of 1993 by the Academy in response to its membership’s demand for a clinical review journal. Two issues were published the first year, followed by six issues yearly from 1994 through 2004. In September 2005, JAAOS began publishing monthly issues. Each issue includes richly illustrated peer-reviewed articles focused on clinical diagnosis and management. Special features in each issue provide commentary on developments in pharmacotherapeutics, materials and techniques, and computer applications.
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