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보존적 치료를 시행한 흉요추 이행부 골다공증성 압박골절에서의 척추 시상면상 정렬
The Sagittal Alignment of Spine in Conservatively Treated Osteoporotic Compression Fractures of Thoracolumbar Junction

대한골다공증학회지 2014년 12권 2호 p.53 ~ p.57

이승현(Lee Seung-Hyun) - 충남대학교 의학전문대학원 정형외과학교실
양준영(Yang Jun-Young) - 충남대학교 의학전문대학원 정형외과학교실
박준영(Park Jun-Yeong) - 충남대학교 의학전문대학원 정형외과학교실
이준규(Lee June-Kyu) - 충남대학교 의학전문대학원 정형외과학교실

Abstract

Objectives: To evaluate the radiological outcomes of conservative treatment for osteoporotic compression fractures in thoracolumbar junction

Materials and Methods: 20 osteoporotic compression fracture cases of thoracolumbar junction (group I) which were treated conservatively using TLSO brace were evaluated compared with 20 osteoporotic spine cases (group II), between August 2010 and March 2012. The mean age was 65.3, ranging from 57 to 71 years old. The average follow up period was 27.4, ranging from 17 to 35 months. The bone marrow density (BMD) was recorded at the initial assessment. The lumbar lordotic angles with compression ratios on the initial and the last follow-up plain lateral radiograph were measured, and the sagittal alignments of spine were evaluated.

Results: In group I, the average compression ratios initially and at the last follow up were 23.5% and 33.7% respectively, and the average lumbar lordotic angles initially and at the last follow up were 30.8° and 22.6° respectively. In group II, the average lumbar lordotic angles initially and at the last follow up were 40.3° and 39.9° respectively. In group I, the compression ratio was significantly increased, and the lumbar lordotic angle was decreased at the final follow up. In group II, the difference of lumbar lordotic angles was not significant statistically.

Conclusions: In most, the osteoporotic compression fractures can be successfully managed conservatively. But, in some cases of thoracolumbar junction, the further collapse of vertebral body and the change of lumbar lordotic angle can be developed, and then sagittal alignment of spine can be disrupted.

키워드

Compression fracture, Osteoporosis, Sagittal alignment, Thoracolumbar junction

KMID : 1007020140120020053

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KCD코드

ICD 03

건강보험코드

보존적 치료를 시행한 흉요추 이행부 골다공증성 압박골절에서의 척추 시상면상 정렬 The Sagittal Alignment of Spine in Conservatively Treated Osteoporotic Compression Fractures of Thoracolumbar Junction

Abstract

키워드

보존적 치료를 시행한 흉요추 이행부 골다공증성 압박골절에서의 척추 시상면상 정렬
The Sagittal Alignment of Spine in Conservatively Treated Osteoporotic Compression Fractures of Thoracolumbar Junction