비정형외과 의사가 궁금해 하는 척추 골절 치료
New Era of Treatment of Osteoporotic Spine Fracture for Nonorthopaedic Doctor
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초록
As we get older, our bones get thinner and their strength decreases. Osteoporosis is a disease in which bones become very weak and are more likely to break. It often develops unnoticed over many years, showing no symptoms or discomfort until a bone breaks. Fractures caused by osteoporosis occur most often in the spine. These spinal fractures—called vertebral compression fractures—occur in nearly 700,000 patients each year. They occur almost twice as often as do other fractures typically linked to osteoporosis, such as broken hips and wrists. Recently, several reports have been published on the results of vertebral augmentation procedures and fusion. However, many questions have been raised about the amount of pain relief that can be expected after such procedures. Although these few studies have sparked some debates in the medical community, it is important to remember that many procedures have also shown significant improvement in relief in back pain from vertebral compression fractures.
Abstract
As we get older, our bones get thinner and their strength decreases. Osteoporosis is a disease in which bones become very weak and are more likely to break. It often develops unnoticed over many years, showing no symptoms or discomfort until a bone breaks. Fractures caused by osteoporosis occur most often in the spine. These spinal fractures—called vertebral compression fractures—occur in nearly 700,000 patients each year. They occur almost twice as often as do other fractures typically linked to osteoporosis, such as broken hips and wrists. Recently, several reports have been published on the results of vertebral augmentation procedures and fusion. However, many questions have been raised about the amount of pain relief that can be expected after such procedures. Although these few studies have sparked some debates in the medical community, it is important to remember that many procedures have also shown significant improvement in relief in back pain from vertebral compression fractures.
참고문헌 (16)
- Moon SH, "Quality of life in osteoporotic vertebral fractures, proceedings", Annual meeting of Korean Society of Bone Mineral Research (2009)
- Denaro L, "Vertebroplasty and kyphoplasty: reasons for concern?", Orthop Clin North Am, 40(4), pp.465~471 (2009)
- "Physician’s guideline for osteoporosis 2008", The Korean Society of Bone Metabolism, 38~88 (2008)
- Jahng JS, "Measurement of bone mineral density in osteoporotic fracture of the spine using dual energy X-ray absorptiometry", J Korean Orthop Assoc, 28, pp.830~838 (1993)
- Wardlaw D, "Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial", Lancet, 373, pp.1016~1024 (2009)
- Eck JC, "Vertebroplasty:a new treatment strategy for osteoporotic compression fractures", Am J Orthop, 31, pp.123~127 (2002)
- Cummings SR, "Epidemiology and outcomes of osteoporotic fractures", Lancet, 359, pp.1761~1767 (2002)
- Kanis JA., "Diagnosis of osteoporosis and assessment of fracture risk", Lancet, 359, pp.1929~1936 (2002)
- 양준영, "골다공증성 척추 골절에서 편측 부분 척추성형술의 임상 결과", 대한척추외과학회지, 18(2), pp.64~69 (2011), 대한척추외과학회
- Kim JH, "Long -term Follow-up of Percutaneous Vertebroplasty in Osteoporotic Compression Fracture : Minimum of 5 Years Follow-up", Asian Spine J, 6, pp.6~14 (2012)
- Taneichi H, "Risk factor analysis for osteoporotic vertebral collapse and pseudoarthrosis", Clinical Orhtop Surg, 37, pp.437~442 (2002)
- Lee YL, "The osteoporotic spine", Clin Orthop, 323, pp.91~97 (1996)
- Choi DJ, "Operative Treatment of Delayed Collapse of Osteoporotic Vertebral Fracture with Claudication. Transpedicular Bone Graft and Pedicle Screw Fixation", J Korean Spine Surg, 14, pp.73~78 (2007)
- Atici T, "Results of surgical treatment for kyphotic deformity of the spine secondary to trauma or Scheuermann’s disease", Acta Orthop, 70, pp.344~348 (2004)
- Kaneda K, "Anterior decompression and stabilization with the Kaneda device for thoracolumbar burst fractures associated with neurological deficits", J Bone Joint Surg Am, 79(1), pp.69~83 (1997)
- Suk SI, "Posterior vertebral column resection for severe rigid scoliosis", Spine (Phila Pa 1976), 30(14), pp.1682~1687 (2005)