Ioannis I Daskalakis, Johannes D Bastian, Andreas F Mavrogenis, Theodoros H Tosounidis
{"title":"Osteoporotic vertebral fractures: an update.","authors":"Ioannis I Daskalakis, Johannes D Bastian, Andreas F Mavrogenis, Theodoros H Tosounidis","doi":"10.1051/sicotj/2025035","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Osteoporotic vertebral fractures (OVFs) are the most common type of fragility fractures. They have a significant and usually detrimental impact on the patient's functional status and mortality rate, constituting a substantial burden for the patients, their families, and the healthcare system. This narrative review aims to summarize the current knowledge of osteoporotic vertebral fractures and secondary fracture prevention.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across major medical databases, including PubMed, Scopus, and Web of Science. Relevant studies, guidelines, and reviews published were analyzed to provide a broad perspective on the topic.</p><p><strong>Results: </strong>Diagnosis of OVFs is based on history, clinical examination, and plain lateral radiographs of the spine. Their management is mainly non-operative, with surgery being reserved for specific indications. Successful management of osteoporotic vertebral fractures entails alleviating pain, early restoration of mobility, and secondary fracture prevention. Prevention of the next osteoporotic fracture is paramount and should be an integral element of their management. The Fracture Liaison Service (FLS) is the main contemporary service that serves this purpose.</p><p><strong>Discussion: </strong>Diagnosis of OVFs is simple but requires vigilance from the clinicians. Early, accurate diagnosis is essential to initiate appropriate treatment and provide the opportunity for secondary fracture prevention.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"11 ","pages":"40"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266666/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"SICOT-J","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1051/sicotj/2025035","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/16 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Osteoporotic vertebral fractures (OVFs) are the most common type of fragility fractures. They have a significant and usually detrimental impact on the patient's functional status and mortality rate, constituting a substantial burden for the patients, their families, and the healthcare system. This narrative review aims to summarize the current knowledge of osteoporotic vertebral fractures and secondary fracture prevention.
Methods: A comprehensive literature search was conducted across major medical databases, including PubMed, Scopus, and Web of Science. Relevant studies, guidelines, and reviews published were analyzed to provide a broad perspective on the topic.
Results: Diagnosis of OVFs is based on history, clinical examination, and plain lateral radiographs of the spine. Their management is mainly non-operative, with surgery being reserved for specific indications. Successful management of osteoporotic vertebral fractures entails alleviating pain, early restoration of mobility, and secondary fracture prevention. Prevention of the next osteoporotic fracture is paramount and should be an integral element of their management. The Fracture Liaison Service (FLS) is the main contemporary service that serves this purpose.
Discussion: Diagnosis of OVFs is simple but requires vigilance from the clinicians. Early, accurate diagnosis is essential to initiate appropriate treatment and provide the opportunity for secondary fracture prevention.
骨质疏松性椎体骨折(OVFs)是最常见的脆性骨折类型。它们对患者的功能状态和死亡率有显著且通常有害的影响,对患者、其家庭和医疗保健系统构成了沉重的负担。本文综述了目前关于骨质疏松性椎体骨折和继发性骨折预防的知识。方法:对PubMed、Scopus、Web of Science等主要医学数据库进行综合文献检索。对相关研究、指南和发表的评论进行了分析,以提供对该主题的广泛视角。结果:ovf的诊断基于病史、临床检查和脊柱侧位平片。他们的治疗主要是非手术,手术保留特定的适应症。骨质疏松性椎体骨折的成功治疗需要减轻疼痛、早期恢复活动能力和二次骨折预防。预防下一次骨质疏松性骨折是最重要的,应该是其管理的一个组成部分。骨折联络服务(FLS)是实现这一目的的主要当代服务。讨论:ovf的诊断很简单,但需要临床医生的警惕。早期、准确的诊断对于开始适当的治疗和提供二次预防骨折的机会至关重要。