[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460425-105":59,"doc-detail-460425-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","osteoporotic-thoracolumbar-vertebral-compression-fractures-controversial-issues-and-current-solutions-review","Osteoporotic thoracolumbar vertebral compression fractures: Controversial issues and current solutions - review","","Osteoporotic vertebral compression fractures in the lower thoracic and lumbar spine are a growing complication of osteoporosis in the elderly, contributing to substantial morbidity and mortality, with hip fractures showing a reported 20% one-year mortality rate. The article addresses Kümmell's disease as a delayed osteoporotic vertebral fracture characterized by vertebro-osteonecrosis and collapse, and summarizes evolving treatment strategies such as hollow pedicle screw-anchored bone cement with posterior long-segment fixation, along with evidence comparing unilateral versus bilateral percutaneous kyphoplasty.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/osteoporotic-thoracolumbar-vertebral-compression-fractures-controversial-issues-and-current-solutions-review/460425/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/osteoporotic-thoracolumbar-vertebral-compression-fractures-controversial-issues-and-current-solutions-review/460425.png","ImageObject",300,407,{"name":92,"@type":93},"pixelkiddo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why are osteoporotic vertebral compression fractures a major health concern?","Question",{"text":112,"@type":113},"They are common in the elderly and represent a significant public health burden, with osteoporotic fractures linked to high mortality rates, particularly for hip fractures.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What characterizes Kümmell's disease in the context of osteoporotic fractures?",{"text":117,"@type":113},"Kümmell's disease is a delayed osteoporotic vertebral fracture marked by vertebral osteonecrosis followed by vertebral collapse.",{"name":119,"@type":110,"acceptedAnswer":120},"What treatment approaches are highlighted for osteoporotic vertebral compression fractures?",{"text":121,"@type":113},"The article highlights hollow pedicle screw-anchored bone cement combined with posterior long-segment fixation, and compares unilateral versus bilateral percutaneous kyphoplasty with attention to procedure time, cement use, and pain reduction.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},460425,1790758438,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":24,"preview_page_count":4},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658","Joint Diseases and Related Surgery  \nJt Dis Relat Surg  \n2026;37(1):261-262  \nREVIEW  \nOsteoporotic thoracolumbar vertebral compression fractures: Controversial issues and current solutions  \nO. Şahap Atik, MD􀀬  \nPresident, Turkish Joint Diseases Foundation, Ankara, Türkiye  \nOsteoporotic fractures represent a significant public health burden; these fractures, particularly in the hip, vertebrae, distal radius, and proximal humerus, are associated with high mortality rates. Hip fractures alone are leading to a 20% mortality rate within the first year. [1] Osteoporosis, a metabolic bone disease, has attracted widespread attention globally in recent years . It often stems from osteopenia and involves changes in bone microstructure, making bones prone to fracture. [1] Osteoporotic vertebral compression fractures (OVCFs) commonly occur in the lower thoracic and lumbar vertebrae. [1] As a prevalent complication of osteoporosis, the incidence of OVCFs is increasing annually in elderly people.  \nThe rising prevalence of Kümmell's disease, a delayed type of osteoporotic vertebral fracture, is becoming a significant challenge in aging population . It is characterized by vertebralosteonecrosis and subsequent collapse. [2] One of the promising approaches is the use of hollow  \n\n| Received: August 19, 2025\u003Cbr>Accepted: August 19, 2025\u003Cbr>Published online: November 25, 2025\u003Cbr>Correspondence: O. Şahap Atik, MD. Turkish Joint Diseases Foundation, Mustafa Kemal Mah. , Dumlupınar Bul. , 274/2, C2 Blok, Ofis 5, 06900 Çankaya, Ankara, Türkiye.\u003Cbr>E-mail: [satikmd@gmail.com](satikmd@gmail.com)\u003Cbr>[Doi:](Doi: 10.52312/jdrs.2026.57931)[ 10.52312/jdrs.2026.57931](Doi: 10.52312/jdrs.2026.57931) |\n| --- |\n| Citation: Atik OŞ . Osteoporotic thoracolumbar vertebral compression fractures: Controversial issues and current solutions . Jt Dis Relat Surg 2026;37(1):261-262 . doi: 10.52312/jdrs.2026.57931 . |\n| ©2026 All right reserved by the Turkish Joint Diseases Foundation |\n\nThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes ([http://creativecommons.org/licenses/by-nc/4.0/](http://creativecommons.org/licenses/by-nc/4.0/)).  \npedicle screw-anchored bone cement combined with posterior long-segment fixation (LSF) aiming to provide the dual benefits of stabilizing the vertebral body through the anchoring effect of bone cement and reducing surgical trauma by avoiding extensive decompression and bone grafting. [3]  \nIn a meta-analysis aiming to compare the efficacy and safety of unilateral versus bilateral percutaneous kyphoplasty (PKP) in treating OVCFs unilateral PKP appears equally effective as bilateral PKP for treating OVCFs, but with certain advantages in terms of procedure time, cement use, and pain reduction . [4]  \nIn conclusion, we should be more concerned about anemia in patients with thoracolumbar OVCFs after unilateral extrapedicular approach compared to the unilateral transpedicular approach.[5]  \nData Sharing Statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.  \nConflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.  \nFunding: The authors received no financial support for the research and/or authorship of this article.  \nREFERENCES  \n1. Gong L, Bai Z. Association of genetically predicted blood metabolites with osteopenia in individuals over 60 years of age: A Mendelian randomization study. Jt Dis Relat Surg 2025;36:229-39. doi: 10.52312/jdrs.2025.1991.  \n2. Kan D, Wang J, Qiao G, Chen Y, Han D. Efficacy and safety of hollow pedicle screw-anchored bone cement combined with posterior long-segment fixation for Stage III Kümmell's disease. Jt Dis Relat Surg 2025;36:15-23. doi: 10.52312/jdrs.2024.","cbCaifNfPUseubvq","https://ap.wps.com/l/cbCaifNfPUseubvq","pdf",150805,"English","# Osteoporotic thoracolumbar vertebral compression fractures: overview\n# Kümmell's disease and delayed osteoporotic collapse\n## Hollow pedicle screw-anchored bone cement with long-segment fixation\n## Unilateral versus bilateral percutaneous kyphoplasty\n# Clinical implications","[{\"question\":\"Why are osteoporotic vertebral compression fractures a major health concern?\",\"answer\":\"They are common in the elderly and represent a significant public health burden, with osteoporotic fractures linked to high mortality rates, particularly for hip fractures.\"},{\"question\":\"What characterizes Kümmell's disease in the context of osteoporotic fractures?\",\"answer\":\"Kümmell's disease is a delayed osteoporotic vertebral fracture marked by vertebral osteonecrosis followed by vertebral collapse.\"},{\"question\":\"What treatment approaches are highlighted for osteoporotic vertebral compression fractures?\",\"answer\":\"The article highlights hollow pedicle screw-anchored bone cement combined with posterior long-segment fixation, and compares unilateral versus bilateral percutaneous kyphoplasty with attention to procedure time, cement use, and pain reduction.\"}]","Osteoporotic thoracolumbar vertebral compression fractures: Controversial issues and current solutions - review | PDF"]