2018ACR适宜性标准：椎体压缩性骨折的管理.pdfVIP

APPROPRIATE USE CRITERIA ACR Appropriateness Criteriaâ Management of Vertebral Compression Fractures Expert Panels on Neurological Imaging, Interventional Radiology, and Musculoskeletal Imaging: a b c Lubdha M. Shah, MD , Jack W. Jennings, MD, PhD , Claudia F. E. Kirsch, MD , d e f Eric J. Hohenwalter, MD , Francesca D. Beaman, MD , R. Carter Cassidy, MD , Michele M. Johnson, MDg h i j , A. Tuba Kendi, MD , Simon Shek-Man Lo, MB, ChB , Charles Reitman, MD , k l m n Arjun Sahgal, MD , Matthew J. Scheidt, MD , Kristofer Schramm, MD , Daniel E. Wessell, MD, PhD , o p q Mark J. Kransdorf, MD , Jonathan M. Lorenz, MD , Julie Bykowski, MD Abstract Vertebral compression fractures (VCFs) have various causes, including osteoporosis, neoplasms, and acute trauma. As painful VCFs may contribute to general physical deconditioning, management of painful VCFs has the potential for improving quality of life and preventing superimposed medical complications. Various imaging modalities can be used to evaluate a VCF to help determine the etiology and guide intervention. The first-line treatment of painful VCFs has been nonoperative or conservative management as mos