BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 高龄人群
  • 既往骨质疏松性椎体压缩骨折病史
  • 急性背痛
  • 无临床症状

其他诊断因素

  • 长期使用皮质类固醇激素病史
  • 后凸畸形
  • 腰椎前曲消失
  • 局部疼痛

危险因素

  • 老年(女性50岁以上,男性65岁以上)
  • 既往骨质疏松性椎体压缩骨折病史
  • 低体重
  • 近期体重下降

诊断性检查

需要考虑的检查

  • 脊椎CT
  • 脊椎MRI
  • 骨扫描
  • 正电子发射计算机断层扫描
全部具体信息

治疗流程

贡献者

Consultant Spine Surgeon & Honorary Clinical Associate Professor

Centre for Spinal Studies and Surgery

Queen’s Medical Centre

Nottingham

UK

利益冲突披露
NAQ declares that his institution has received research support from Medtronic.

Professor of Orthogeriatric Medicine & Consultant Physician

Queen's Medical Centre

Nottingham University Hospitals NHS Trust

Nottingham

UK

利益冲突披露
OS declares that he has no competing interests.

Professor of Spine Surgery

University of Oxford

Nuffield Orthopaedic Centre

Oxford

UK

利益冲突披露
JF declares that he has no competing interests.

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Chairman

Department of Emergency Medicine

Mount Sinai School of Medicine

New York

NY

利益冲突披露
SJ declares that he has no competing interests.

Consultant Physician

Wrightington, Wigan & Leigh NHS Foundation Trust

Wigan

UK

利益冲突披露
MM declares that he has no competing interests.

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