Analysis of Clinical Features of Hip Fracture Patients with or without Prior Osteoporotic Spinal Compression Fractures
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: To analyze and compare the clinical characteristics including bone mineral density (BMD) in a group who had operation of hip fracture with or without prior osteo-porotic spinal compression fractures. Methods: Two hundred forty patients who had undergone operation of hip fractures were evaluated, 127 patients who had with prior osteoporotic spinal compression fractures were in group I, and 113 patients without pri-or spinal fractures were in group II. In each group, we measured age, gender, body mass index (BMI, kg/m2), BMD (mg/cm3), type of hip fractures, concomitant diseases, presence of secondary hip fracture and history of percutaneous vertebroplasty. Results: The mean age of group I was 79.4 years (male/female: 28/99) and that of group II was 77.6 years (male/female: 37/76). The mean BMI of group I was 21.3 kg/m2 and that in group II was 22.0 kg/m2. The mean BMD and T-score of group I were 41.1 mg/cm3 and -4.45 and those in group II were 51.0 mg/cm3 and -4.17 (P<0.05). The numbers of patients of neck and intertrochanter fracture of group I were 31 and 96 patients and those in group II were 61and 52 patients. Sixty in group I and 45 in group II patients had concomitant diseases. Thirteen patients had undergone percutaneous vertebroplasty and 18 patients (7.5%)had second hip fractures. Conclusions: The hip fracture patients who had with prior os-teoporotic spinal compression fractures had lower BMD compared to the hip fracture patients without previous spinal compression fractures.
Abstract
Background: To analyze and compare the clinical characteristics including bone mineral density (BMD) in a group who had operation of hip fracture with or without prior osteo-porotic spinal compression fractures. Methods: Two hundred forty patients who had undergone operation of hip fractures were evaluated, 127 patients who had with prior osteoporotic spinal compression fractures were in group I, and 113 patients without pri-or spinal fractures were in group II. In each group, we measured age, gender, body mass index (BMI, kg/m2), BMD (mg/cm3), type of hip fractures, concomitant diseases, presence of secondary hip fracture and history of percutaneous vertebroplasty. Results: The mean age of group I was 79.4 years (male/female: 28/99) and that of group II was 77.6 years (male/female: 37/76). The mean BMI of group I was 21.3 kg/m2 and that in group II was 22.0 kg/m2. The mean BMD and T-score of group I were 41.1 mg/cm3 and -4.45 and those in group II were 51.0 mg/cm3 and -4.17 (P<0.05). The numbers of patients of neck and intertrochanter fracture of group I were 31 and 96 patients and those in group II were 61and 52 patients. Sixty in group I and 45 in group II patients had concomitant diseases. Thirteen patients had undergone percutaneous vertebroplasty and 18 patients (7.5%)had second hip fractures. Conclusions: The hip fracture patients who had with prior os-teoporotic spinal compression fractures had lower BMD compared to the hip fracture patients without previous spinal compression fractures.
참고문헌 (20)
- Black DM, "Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures. Study of Osteoporotic Fractures Research Group", J Bone Miner Res, 14, pp.821~828 (1999)
- 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)
- Li YA, "Subsequent vertebral fracture after vertebroplasty: incidence and analysis of risk factors", Spine (Phila Pa 1976), 37, pp.179~183 (2012)
- Hardouin P, "Should percutaneous vertebroplasty be used to treat osteoporotic fractures? An update", Joint Bone Spine, 68, pp.216~221 (2001)
- Fribourg D, "Incidence of subsequent vertebral fracture after kyphoplasty", Spine (Phila Pa 1976), 29, pp.2270~2276 (2004)
- Black DM, "Comparison of methods for defining prevalent vertebral deformities: the Study of Osteoporotic Fractures", J Bone Miner Res, 10, pp.890~902 (1995)
- Schousboe JT, "Association between prior non-spine non-hip fractures or prevalent radiographic vertebral deformities known to be at least 10 years old and incident hip fracture", J Bone Miner Res, 21, pp.1557~1564 (2006)
- Siris ES, "Enhanced prediction of fracture risk combining vertebral fracture status and BMD", Osteoporos Int, 18, pp.761~770 (2007)
- Melton LJ 3rd, "Vertebral fractures predict subsequent fractures", Osteoporos Int, 10, pp.214~221 (1999)
- Haentjens P, "Colles fracture, spine fracture, and subsequent risk of hip fracture in men and women. A meta-analysis", J Bone Joint Surg Am, 85- A, pp.1936~1943 (2003)
- Mazzantini M, "Long-term prospective study of osteoporotic patients treated with percutaneous vertebroplasty after fragility fractures", Osteoporos Int, 22, pp.1599~1607 (2011)
- Mitani S, "Risk factors for second hip fractures among elderly patients", J Orthop Sci, 15, pp.192~197 (2010)
- Schrøder HM, "Occurrence and incidence of the second hip fracture", Clin Orthop Relat Res, 289, pp.166~169 (1993)
- Cummings SR, "Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group", N Engl J Med, 332, pp.767~773 (1995)
- Hinton RY, "Relative rates of fracture of the hip in the United States. Geographic, sex, and age variations", J Bone Joint Surg Am, 77, pp.695~702 (1995)
- Finsen V, "The second hip fracture. An epidemiologic study", Acta Orthop Scand, 57, pp.431~433 (1986)
- NIH Consensus Development Panel on Osteoporosis Prevention Diagnosis and Therapy, "Osteoporosis prevention, diagnosis, and therapy", JAMA, 285, pp.785~795 (2001)
- 김상림, "Orthopedic Surgeon’s Awareness Can Improve Osteoporosis Treatment Following Hip Fracture: A Prospective Cohort Study", Journal of Korean Medical Science, 26(11), pp.1501~1507 (2011), 대한의학회
- Kaufman JD, "Barriers and solutions to osteoporosis care in patients with a hip fracture", J Bone Joint Surg Am, 85-A, pp.1837~1843 (2003)
- Bouxsein ML, "Recommendations for optimal care of the fragility fracture patient to reduce the risk of future fracture", J Am Acad Orthop Surg, 12, pp.385~395 (2004)