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Osteoporotische Wirbelkörperfrakturen

Osteoporotic vertebral body fractures

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Zusammenfassung

Osteoporotische Frakturen der Wirbelsäule nehmen zu und sind mit einer erhöhten Morbidität und Mortalität verknüpft. In diesem Übersichtsartikel wird ein Überblick über Besonderheiten dieser Frakturen, das diagnostische Vorgehen, ihre Klassifikation und die konservativen und operativen Therapieoptionen gegeben. Wichtig bei den mehrheitlich älteren Betroffenen ist eine gleichzeitige Therapie der Grunderkrankung und eine Adressierung assoziierter Probleme wie Gebrechlichkeit und Sarkopenie. Um dieser wachsenden medizinischen und sozioökonomischen Herausforderung gerecht zu werden, ist dabei ein ganzheitlicher interdisziplinärer und interprofessioneller Behandlungsansatz erforderlich.

Abstract

The number of osteoporotic fractures of the spine is increasing. These fractures are associated with elevated morbidity and mortality. This article provides an overview of the special features of these fractures, the diagnostic procedure, their classification, and the conservative and surgical treatment options. For the mostly elderly patients, it is important to treat the underlying disease and to address associated problems such as frailty and sarcopenia. To meet this growing medical and socio-economic challenge, a holistic interdisciplinary and interprofessional treatment approach is required.

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Abbreviations

ASA:

American Society of Anesthesiologists

BMI:

Body-Mass-Index

COX:

Cyclooxygenase

DVO:

Dachverband Osteologie

DXA:

Duale-Röntgen-Absorptiometrie

NSAR:

Nichtsteroidale Antirheumatika

OF:

Osteoporotische Fraktur

PMMA:

Polymethylmethacrylat

VAS:

Visuelle Analogskala

WHO:

World Health Organization

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Authors and Affiliations

  1. Klinik u. Poliklinik für Orthopädie, Unfallchirurgie u. Plastische Chirurgie, Bereich Wirbelsäulenchirurgie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland

    Christoph-E. Heyde & Andreas Roth

  2. Centrum für muskuloskelettale Chirurgie, Charité Universitätsmedizin Berlin, Berlin, Deutschland

    Michael Putzier

Authors
  1. Christoph-E. Heyde
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  2. Andreas Roth
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Correspondence to Christoph-E. Heyde.

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C.-E. Heyde erhält Royalties der Firma Medacta Int. A. Roth und M. Putzier geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Heyde, CE., Roth, A. & Putzier, M. Osteoporotische Wirbelkörperfrakturen. Orthopädie 52, 808–817 (2023). https://doi.org/10.1007/s00132-023-04433-y

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