| Analysis of BMD Scores Between the Fracture and Non-fracture Segments of the Lumbar Spine Compression Fractures in the Osteoporotic Old Patients |
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Woo Hyung Choi , Sung Han Oh , Chung Jae Lee , Jong Kook Rhim , Bong Sub Chung |
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Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam City, Gyeonggi-do, Korea |
| 골다공증 노인의 요추체 압박골절에서 압박 분절과 비압박 분절간의 골밀도에 대한 비교 분석 |
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최우형ㆍ오성한ㆍ정봉섭ㆍ임종국ㆍ이충재 |
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분당제생병원 신경외과 |
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| Abstract |
Objective
Retrospectively, we analyzed the BMD scores between the fracture- and non-fracture segments of the acute lumbar spine compression fractures over 65 years old osteoporotic patients. In addition, we evaluated the BMD scores according to the BMI and spinal fracture index.
Methods
Total enrolled fracture segments were sixty two. Diagnostic tools were pre-operatively MRI and BMD using DXA for all patients. All patients were traditionally performed vertebro- or kyphoplasty for their painful condition.
Results
In fact, twenty two of the total treated (=vertebro- or kyphoplasty) sixty two fracture segments were not osteoporotic in these osteoporotic patients. T-score of the fracture segments was higher than non-fracture segments. The BMD of the fracture segments was increasing tendency compared with non-fracture segments. The t-score and BMD of the fracture segments were also increasing tendency in the Grade 1 and 2 groups of spinal fracture index (t-test). We assume that the close-set effect of that compression segments may play a role of the above results. There was no correlation of the BMD scores according to the BMI in this study.
Conclusion
We tried to evaluate the difference of the BMD scores between the acute compression segment and non-compression segment in the osteoporotic patient. We raise a question what difference does exist between the non-osteoporotic compression segments in the osteoporotic patients and compression segments in the non-osteoporotic patients, though we need further study for clinical relation of them. |
| Key Words:
BMDㆍBMIㆍCompression fractureㆍOsteoporosis |
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