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Journal of Neurosurgical Sciences 2022 August;66(4):291-9

DOI: 10.23736/S0390-5616.22.05636-3

Copyright © 2022 THE AUTHORS

This is an open access article distributed under the terms of the CC BY-NC 4.0 license which allows users to distribute, remix, adapt and build upon the manuscript, as long as this is not done for commercial purposes, the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI), provides a link to the license and indicates if changes were made.

language: English

Osteoporotic vertebral fractures: radiologic diagnosis, clinical and radiologic factors affecting surgical decision making: WFNS spine committee recommendations

Ibet M. SIH 1 , Nobuyuki SHIMOKAWA 2, Mehmet ZILELI 3, Mauricio FORNARI 4, Jutty PARTHIBAN 5

1 Section of Neurosurgery, Institute for the Neurosciences, St. Luke’s Medical Center, Metro Manila, Philippines; 2 Department of Neurosurgery, Tsukazaki Hospital, Hyogo, Japan; 3 Department of Neurosurgery, Ege University, Izmir, Turkey; 4 Unit of Neurosurgery, Humanitas Research Hospital, Rozzano, Milan, Italy; 5 Spine Unit, Department of Neurosurgery, Kovai Medical Center and Hospital, Coimbatore, India

INTRODUCTION: With the varied literature on osteoporotic vertebral fracture that may predispose to diagnostic and management dilemma, it is timely to evaluate and streamline the evidence. The aim of this review is to create recommendations on osteoporotic vertebral fractures regarding radiologic diagnosis, and clinical and radiological factors affecting surgical decision making.
EVIDENCE ACQUISITION: A computerized literature search was done using PubMed, Google scholar and Cochrane Database of Systematic Reviews from 2010 to 2020. For radiologic diagnosis, the keywords “osteoporotic vertebral fractures” and “radiologic diagnosis” were used yielding 394 articles (19 relevant articles). For clinical and radiological factors affecting surgical decision making, the keywords “osteoporotic vertebral fractures,” “radiologic diagnosis,” and “surgery” were used yielding 568 articles (25 relevant articles).
EVIDENCE SYNTHESIS: All pertinent data were reviewed, and consensus statements were obtained in two virtual separate consensus meetings of the World Federation of Neurosurgical Societies (WFNS) Spine committee. The statements were voted and yielded positive or negative consensus using the Delphi method.
CONCLUSIONS: This review summarizes the WFNS Spine Committee recommendations on the radiologic diagnosis, and clinical and radiological factors affecting surgical decision making of osteoporotic vertebral fractures.

KEY WORDS: Spinal fractures; Radiology, Diagnosis; Tomography, X-ray computed

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