| Risk Factors of Morphological Aggravation of Acute Osteoporotic Vertebral Compression Fractures |
|
Jong Joo Lee , Yu Sam Won , Young-Joon Kwon , Hyun Chul Shin |
|
Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea |
|
|
| Abstract |
Objective
Osteoporotic vertebral compression fracture (VCF) is a common skeletal complication which the morphology, severity, clinical symptoms and courses of the disease may change over time. The aim of this study was to investigate the morphologic change of the vertebra over time and which demographic and radiologic predictors are related.
Methods
This study included 63 patients aged over 65 years according to the inclusion criteria from January, 2013 to March, 2015 and the patients were divided into two groups according to aggravation of compression. Demographic and radiologic data were analyzed between the groups.
Results
During the 6-month follow-up, more than 15% increase in vertebral height loss or more than 10 degrees increase in kyphotic angle was noted in 17 patients (aggravated group) and less than 15% loss and less than 10 degrees was noted in 46 patients (non-aggravated group). The results of this study demonstrated that partial type of fracture in T1WI and T2WI significantly correlated with progression of osteoporotic VCFs. And also high signal intensity type of fracture in T2WI correlated with progression of osteoporotic VCFs. Over the 6 months follow-up period, anterior vertebral border height and midportion vertebral body height decreased significantly in the ‘aggravated group’. There was no significant height decrease in the ‘non-aggravated group’.
Conclusion
In conclusion, during the 6-month follow-up of conservative treatment for acute osteoporotic VCFs, partial type in T1WI and T2WI and high signal intensity type of fracture in T2WI MRI correlated with progression of osteoporotic VFCs. These radiologic factors should be considered when treating conservatively for acute osteoporotic VCFs. |
| Key Words:
AggravationㆍCompression fractureㆍElderlyㆍOsteoporosis |
|
PDF Links
Download Citation
