【摘要】 Kümmell病是骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fracture,OVCF)的一种延迟并发症,这种疾病可以发生在最初的脊柱损伤几个月甚至几年之后,与常见的骨质疏松性压缩骨折不同的是它的发展迟缓,因椎内不稳而引起顽固性疼痛或神经功能障碍。迄今为止,Kümmell病的发病机制尚未完全清楚,目前没有标准的治疗或单一有效的治疗可用于Kümmell病。保守治疗效果往往不好,微创治疗由于手术时间短、创伤小、疗效确切,已成为Kümmell病患者的主要治疗方法,但存在骨水泥渗漏和延迟骨水泥移位等并发症的发生,而且微创治疗并不适用于所有类型的Kümmell病患者,对于后皮质骨折伴脊髓压迫的患者则需要进行开放性手术治疗,不管是前路手术还是几种后路手术都存在手术时间长、创伤大、治疗费用高等缺点。本文就Kümmell病的治疗进展作一综述,为临床治疗提供指导。更多还原

【Abstract】 Kümmell’s disease is a delayed complication of osteoporotic vertebral compression fracture(OVCF). The disease can occur months or even years after the initial spinal injury. Unlike the common osteoporotic compression fracture,it develops slowly and causes intractable pain or neurological dysfunction due to intraspinal instability. So far,the pathogenesis of Kümmell’s disease has not been completely clear,there is no standard treatment or single effective treatment for Kümmell’s disease. The effect of conservative treatment is often not good. Minimally invasive treatment has become the main treatment for patients with Kümmell’s disease due to its short operation time,small trauma and exact effect. However,there are complications such as leakage of bone cement and delayed displacement of bone cement. Moreover,minimally invasive treatment is not suitable for all types of Kümmell’s disease patients. Patients with posterior cortical fracture and spinal cord compression need to be opened Radiotherapy,whether anterior or posterior,has the disadvantages of long operation time,large trauma and high treatment cost. This article reviews the progress in the treatment of Kümmell’s disease to provide guidance for clinical treatment.更多还原