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50세 이상에서 발생한 저 에너지 손상에 의한 골절에서 골절 부위에 따른 골다공증의 빈도 및 관련 인자

The Incidence of Osteoporosis and the Related Factors Among Injured Sites in Above 50 Year-old Patients with Fractures Caused by Low-energy Trauma

조인호|이정범|이진웅|이재익|김광균|허윤무
대한골다공증학회 (THE KOREAN SOCIETY OF OSTEOPOROSIS)|2013.12|OSTEOPOROSIS (The Journal of Korean Society of Osteoporosis)|제11권 제3호|pp. 126-135

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참고문헌

키워드

OsteoporosisFractureLow-energy traumaBone mass density
주제분류기타의약학

초록

Objectives: To compare the incidence of osteoporosis and the related factors among fracture sites in above 50 year-old patients with fractures caused by low-energy traumaMaterials and Methods: Seven hundred and fourteen patients with fracture fromlow energy trauma were evaluated retrospectively. By the Dual-energy x-ray absorptionmetry, we measured bone mineral density (BMD) at lumbar spine and proximal femur, and compared the incidence of osteoporosis, age, sex, body mass index (BMI), previous fracture history, past osteoporosis medication history according to each fracture sites. Results: BMDwas decreased according to increasing age with statistical significance (P<0.001). Sex has no significant difference according to fracture site (P=0.141). Average age of patients with osteoporotic fracture was 73.8, 72.8, 66.3, 73.4, 78.3 years old according to fracture site as T-spine, L-spine, distal radius, proximal humerus and proximal femur, respectively. There was significant difference among groups (P<0.001). Average BMI related with osteoporotic fracture site was 22.9 kg/m2, 22.7 kg/m2, 23.4 kg/m2, 23.0 kg/m2, 21.7 kg/m2, respectively and it showed significant difference among groups (P<0.001). Average bone mass and T-score related with osteoporotic fracture site was 0.587 g/cm2 (-3.5), 0.614 g/cm2 (-3.1), 0.647 g/cm2 (-2.6), 0.597 g/cm2 (-3.1), 0.554 g/cm2 (-3.5), withsignificant difference among groups (P<0.001). Previous fracture history had no significant difference among groups (P=0.078). Previous osteoporosis medication history had significant difference among the groups (P<0.001). Conclusions: In low-energy traumatic fracture, age, BMI and previous osteoporosis medication history are significantly related factors with BMD and osteoporoticfracture. Early diagnosis of osteoporosis and osteoporotic medication use is effective for decrease incidence of low-energy osteoporotic fracture.

Abstract

Objectives: To compare the incidence of osteoporosis and the related factors among fracture sites in above 50 year-old patients with fractures caused by low-energy traumaMaterials and Methods: Seven hundred and fourteen patients with fracture fromlow energy trauma were evaluated retrospectively. By the Dual-energy x-ray absorptionmetry, we measured bone mineral density (BMD) at lumbar spine and proximal femur, and compared the incidence of osteoporosis, age, sex, body mass index (BMI), previous fracture history, past osteoporosis medication history according to each fracture sites. Results: BMDwas decreased according to increasing age with statistical significance (P<0.001). Sex has no significant difference according to fracture site (P=0.141). Average age of patients with osteoporotic fracture was 73.8, 72.8, 66.3, 73.4, 78.3 years old according to fracture site as T-spine, L-spine, distal radius, proximal humerus and proximal femur, respectively. There was significant difference among groups (P<0.001). Average BMI related with osteoporotic fracture site was 22.9 kg/m2, 22.7 kg/m2, 23.4 kg/m2, 23.0 kg/m2, 21.7 kg/m2, respectively and it showed significant difference among groups (P<0.001). Average bone mass and T-score related with osteoporotic fracture site was 0.587 g/cm2 (-3.5), 0.614 g/cm2 (-3.1), 0.647 g/cm2 (-2.6), 0.597 g/cm2 (-3.1), 0.554 g/cm2 (-3.5), withsignificant difference among groups (P<0.001). Previous fracture history had no significant difference among groups (P=0.078). Previous osteoporosis medication history had significant difference among the groups (P<0.001). Conclusions: In low-energy traumatic fracture, age, BMI and previous osteoporosis medication history are significantly related factors with BMD and osteoporoticfracture. Early diagnosis of osteoporosis and osteoporotic medication use is effective for decrease incidence of low-energy osteoporotic fracture.

참고문헌 (17)

  1. Korea health statistics 2009: Korea national health and nutrition examination survey, , 528~533 (2009)
  2. 조명래, "고관절부, 요추부, 원위 요골에서의 골밀도에 따른 골다공증 진단의 일치도", Hip and Pelvis, 24(1), pp.53~58 (2012), 대한고관절학회
  3. 임영욱, "골다공증의 병인 및 골다공증 골절의 예방", Hip and Pelvis, 21(1), pp.6~16 (2009), 대한고관절학회
  4. 대한골대사학회 지침 위원회, "골다공증 진단 및 치료 지침 2007", Endocrinology and Metabolism, 23(2), pp.76~108 (2008), 대한내분비학회
  5. Stone KL, "BMD at multiple sites and risk of fracture of multiple types: long-term results from the Study of Osteoporotic Fractures", J Bone Miner Res, 18, pp.1947~1954 (2003)
  6. Choi JS, "DEXA T-score Concordance and Discordance Between hip and Lumbar Spine", J Korean Soc Spine Surg, 10, pp.75~81 (2003)
  7. Rozental TD, "Improving evaluation and treatment for osteoporosis following distal radial fractures: a prospective randomized intervention", J Bone Joint Surg Am, 90, pp.953~961 (2008)
  8. Cummings SR, "Epidemiology and outcomes of osteoporotic fractures", Lancet, 18, pp.1761~1767 (2002)
  9. Nguyen TV, "Risk factors for osteoporotic fractures in elderly men", Am J Epidemiol, 144, pp.255~263 (1996)
  10. Kanis JA, "A meta-analysis of previous fracture and subsequent fracture risk", Bone, 35, pp.375~382 (2004)
  11. Kanis JA, "Diagnosis of osteoporosis and assessment of fracture risk", Lancet, 359, pp.1929~1936 (2002)
  12. Ross PD, "Pre-existing fractures and bone mass predict vertebral fracture incidence in women", Ann Intern Med, 114, pp.919~923 (1991)
  13. Klotzbuecher CM, "Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis", J Bone Miner Res, 15, pp.721~739 (2000)
  14. Kim SW, "Long term follow-up of osteoporotic vertebral fractures according to the morphologic analysis of fracture pattern", J Korean Soc Spine Surg, 7, pp.611~617 (2000)
  15. Compston JE, "Osteoporosis", Clin Endocrinol (Oxf), 33, pp.653~682 (1990)
  16. 손종민, "진행성 골다공증성 척추골절의 위험인자", 대한척추외과학회지, 16(3), pp.153~159 (2009), 대한척추외과학회
  17. Feldstein A, "Bone mineral density measurement and treatment for osteoporosis in older individuals with fractures: a gap in evidence-based practice guideline implementation", Arch Intern Med, 163, pp.2165~2172 (2003)

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