Journal of Korean Society of Geriatric Neurosurgery 2010;6(2):95-99.
Published online October 30, 2010.
여성 환자군의 척추압박골절 후 임상적 양상 서울보훈병원 신경외과학교실
Dong Hyuk Nam , Tae Wan Kim , Kwan Ho Park , Moon Pyo Chi , Jae O Kim
Department of Neurosurgery, Seoul Veterans Hospital, Seoul, Korea
여성 환자군의 척추압박골절 후 임상적 양상
서울보훈병원 신경외과학교실
Vertebral compression fracture is a relatively common disease in elderly. Percutaneous vertebroplasty is a less invasive and complex procedure. We aimed to analyze the clinical features of vertebral compression fracture after percutaneous vertebroplasty due to age and sex.
From January 2007 to December 2008, we selected 44 patients who taken vertebroplasty to single level and who also experienced first onset compression fracture. We divided four groups: over and below than 70 years, male and female. We investigated bone mineral density, change of vertebral compression ratio and kyphotic angle, occurrence of subsequent fracture retrospectively.
Mean Z-score among bone mineral density is lower in female group than male. Most of the patients were increased vertebral compression ratio, although the increment of kyphotic angle was a little. The severe back pain was not occurred at last follow up period. Increment of kyphotic angle was also common in female group. Not a few patients were increased kyphotic angle during short follow up period. No subsequent fracture was occurred in below 70 years male group.
Kyphotic angle was more commonly increased in female group after percutaneous vertebroplasty even though there was no statistical significance. So, additional conservative treatment involving slightly hyperextensive position may be more necessary to female patients.
Key Words: Compression fractureㆍBone mineral densityㆍKyphotic
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