Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (6): 25-32.doi: 10.6040/j.issn.1671-7554.0.2021.0052

• Special Issue on New Progress in Osteoporosis • Previous Articles     Next Articles

Research advances on risk factors, diagnosis and treatment of Kümmell's disease

Haipeng SI*(),Wencan ZHANG,Le LI,Xin ZHOU   

  1. Department of Orthopedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2021-01-14 Online:2021-06-10 Published:2021-06-10
  • Contact: Haipeng SI E-mail:18560082571@163.com

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Abstract:

Kümmell's disease is post-traumatic delayed vertebral compression fracture that occurs on the basis of severe osteoporosis. Failure to pay attention or improper treatment may cause kyphosis and severe neurological symptoms, which will have a huge blow on patients' quality of life and cause a heavy family burden. With the aging of population and improvement of medical standards, the incidence and diagnosis rate of Kümmell's disease have been increasing. New technologies of diagnosis and treatment are also emerging. This article summarizes the development, risk factors, pathogenesis, diagnosis, clinical stage, treatment options of Kümmell's disease so as to provide guidance for clinicians.

Key words: Kümmell's disease, Risk factors, Clinical stage, Treatment, Review

CLC Number: 

  • R574

Table 1

Li's stages of Kümmell's disease"

分期 伤椎椎体情况 MRI表现 临床表现
Ⅰ期 椎体完整或者椎体前柱轻度压缩，椎体前缘高度丢失小于20% T1像低信号，T2像高信号和轻微的椎体裂隙。 腰背痛或者胸壁痛，但有的患者可能没有症状。
Ⅱ期 椎体动态活动或者椎体前缘高度丢失大于20%，椎体后壁完整。 T1像低信号，T2像均匀或者不均匀的高信号和椎体裂隙。 腰背痛、胸壁痛、神经损伤、后凸畸形
Ⅲ期 椎体动态活动和椎体严重塌陷，椎体后缘皮质破裂 T1像低信号，T2像均匀或者不均匀的高信号和椎体裂隙，椎体后壁骨折块压迫脊髓。 腰背痛、胸壁痛、后凸畸形，神经受损的症状表现为肋间神经痛，坐骨神经痛，股神经痛，脊髓压迫致瘫痪等。
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