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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Lee, Ja Myoung (Department of Neurosurgery, Gyeongsang National University School of Medicine) Lee, Young Seok (Department of Neurosurgery, Gyeongsang National University School of Medicine) Kim, Young Baeg (Department of Neurosurgery, Chung-Ang University College of Medicine) Park, Seung Won (Department of Neurosurgery, Chung-Ang University College of Medicine) Kang, Dong Ho (Department of Neurosurgery, Gyeongsang National University School of Medicine) Lee, Shin Heon (Department of Neurosurgery, Chung-Ang University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제60권 제2호
발행연도
2017.1
수록면
181 - 188 (8page)

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Objective : The objective of this study was to analyze the correlation between further compression and necrotic area in osteoporotic vertebral fracture (OVF) patients with contrast-enhanced magnetic resonance imaging (CEMRI). In addition, we investigated the radiological and clinical outcome according to the range of the necrotic area. Methods : Between 2012 and 2014, the study subjects were 82 OVF patients who did not undergo vertebroplasty or surgical treatment. The fracture areas examined on CEMRI at admission were defined as edematous if enhancement was seen and as necrotic if no enhancement was seen. The correlation between further compression and the necrotic and edematous areas of CEMRI, age, and bone mineral density was examined. Also, necrotic areas were classified into those with less than 25% (non-necrosis group) and those with more than 25% (necrosis group) according to the percentages of the entire vertebral body. For both groups, further compression and the changes in wedge and kyphotic angles were examined at admission and at 1 week, 3 months, and 6 months after admission, while the clinical outcomes were compared using the visual analog scale (VAS) and Eastern Cooperative Oncology Group (ECOG) performance status grade. Results : Further compression was $14.78{\pm}11.11%$ at 1 month and $21.75{\pm}14.43%$ at 6 months. There was a very strong correlation between the necrotic lesion of CEMRI and further compression (r=0.690, p<0.001). The compression of the necrosis group was $33.52{\pm}12.96%$, which was higher than that of the non-necrosis group, $14.96{\pm}10.34%$ (p<0.005). Also, there was a statistically significantly higher number of intervertebral cleft development and surgical treatments being performed in the necrosis group than in the non-necrosis group (p<0.005). Moreover, there was a statistical difference in the decrease in the height of the vertebral body, and an increase was observed in the kyphotic change of wedge angle progression. There was also a difference in the VAS and ECOG performance scales. Conclusion : The necrotic area of CEMRI in OVF had a strong correlation with further compression over time. In addition, with increasing necrosis, intervertebral clefts occurred more frequently, which induced kyphotic changes and resulted in poor clinical outcomes. Therefore, identifying necrotic areas by performing CEMRI on OVF patients would be helpful in determining their prognosis and treatment course.
#Osteoporotic vertebral fracture #Necrotic area #Further compression #Kyphotic change

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참고문헌 (18)

참고문헌 신청
Buchbinder R / 2009 / A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures / N Engl J Med 361:557~568 google schola Carlier RY / 2004 / Osteoporotic vertebral collapse : percutaneous vertebroplasty and local kyphosis correction / Radiology 233:891~898 google schola Chou KN / 2014 / Progressive kyphosis after vertebroplasty in osteoporotic vertebral compression fracture / Spine 39:68~73 google schola Ha KY / 2006 / Percutaneous vertebroplasty for vertebral compression fractures with and without intravertebral clefts / J Bone Joint Surg Br 88:629~633 google schola Hasserius R / 2003 / Prevalent vertebral deformities predict increased mortality and increased fracture rate in both men and women : a 10-year population-based study of 598 individuals from the Swedish cohort in the European Vertebral Osteoporosis Study / Osteoporos Int 14:61~68 google schola

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