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진구성 척추 골다공증성 압박 골절과 경피적 척추 성형술 후 인접분절 척추 압박골절의 비교 분석 : 예비보고 / 채수욱 ; 김영진 ; 양정환 ; 이지완 ; 추지웅 ; 최덕화 ; 위대한 1
[요약] 1
대상 및 방법 2
결과 4
고찰 4
참고문헌 5
초록보기
Objectives: New adjacent spinal compression fractures occur not only in patients with osteoporotic spinal compression fractures after vertebroplasty but also in untreated old spinal compression fractures. The objective was to analyze and compare the characteristics in a group who had untreated old osteoporotic spinal compression fractures with those who had adjacent spinal compression fractures, which occurred after a vertebroplasty.
Materials & Methods: From April 2006 to April 2009, 103 patients who had undergone vertebroplasty were evaluated. Eighteen patients (22 cases) who had untreated old osteoporotic spinal compression fractures were in group I, and 12 patients (13 cases) who had adjacent spinal compression fractures, which occurred after a vertebroplasty were in group II. In each group, we measured age and gender, body mass index (BMI), lumbar bone marrow density (BMD), sagittal index, and compression rate at the initial fracture site.
Results: The mean age of group I was 76.7?years-old (males/females: 5/13), and that of group II was 78.7?years-old (males/females: 6/6). The most common fracture site was T12 (36%) in group I, and the most common site was L1 (54%) in group II. The mean BMI of group I was 23.3 and that in group II was 19.8. The mean t-score of group I was -4.59 and that of group II was -3.99. The mean compression rate and sagittal index of group I was 30.7% and 24.5°, respectively and those in group II were 32.1 % and 26°, respectively. No differences in sagittal index or compression rate were observed between the two groups.
Conclusions: Patients require continuous education, exercise, and osteoporotic medication after an osteoporotic spinal compression fracture. In particular, after a vertebroplasty, patients must wear an orthosis, and in elderly patients with a low BMD, it is important to continually observe for an adjacent spinal compression fracture.권호기사
참고문헌 (15건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | The Efficacy of Kyphoplasty on Osteoporotic Vertebral Compression Fracture : A 1-Year Follow-up Study | 소장 |
| 2 | Incidence of Subsequent Vertebral Fracture after Kyphoplasty  |
미소장 |
| 3 | Long term outcome of Vertebroplasty in the Treatment of Osteoporotic Compression Fracture | 소장 |
| 4 | Bouza C, Lopez T, Magro A, navalpotro L, Amate JM. Efficacy and safety of ballon kyphoplasty in the treatment of vertebral compression fractures: systemic review. Eur spine J 2006;15:1050-67. | 미소장 |
| 5 | Acute vertebral body compression fractures: discrimination between benign and malignant causes using apparent diffusion coefficients. |
미소장 |
| 6 | Berlemann U, Ferguson SJ, Nolte LP, Heini PF. Adjacent vertebral failure after vertebroplasty. A biomechanical investigation. J Bone Joint Surg 2002;84B:748-52. | 미소장 |
| 7 | Primary and Secondary Osteoporosis' Incidence of Subsequent Vertebral Compression Fractures After Kyphoplasty |
미소장 |
| 8 | Repeated and Multiple New Vertebral Compression Fractures After Percutaneous Transpedicular Vertebroplasty |
미소장 |
| 9 | Relationship between cement distribution pattern and new compression fracture after percutaneous vertebroplasty. |
미소장 |
| 10 | Risk of new vertebral fracture in the year following a fracture. |
미소장 |
| 11 | Prevalent Vertebral Fractures in Black Women and White Women |
미소장 |
| 12 | Long-term risk of incident vertebral fractures. |
미소장 |
| 13 | Melton LJ lll, Atkinson EJ, Cooper C, O’Fallon WM, Riggs BL. Vertebral fractures predict subsequent fractures. Osteoprosis Int 1999;10:214-21. | 미소장 |
| 14 | Pre-existing fractures and bone mass predict vertebral fracture incidence in women. |
미소장 |
| 15 | Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. |
미소장 |
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