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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 70 - 74 (5page)
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Vertebral extension-distraction fractures are a type of unstable fracture and require surgical stabilization with instrumentation. Unfortunately, in elderly patients with severe osteoporosis, poor bone quality can be related to postoperative pseudo-arthrosis and instability. Teriparatide is known as an effective anabolic agent for bone healing, union, and managing osteoporosis. In this report, we describe a rare case of extension-distraction thoracolumbar fractures in 86-year-old female patient with severe osteoporosis, which was treated conservatively. The patient was inoperable due to the presence of concomitant cardiopulmonary problems and the patients' old age. She had poor bone quality on bone mineral densitometry (−6.7, lumbar spine) but no neurologic defcits. As conservative treatment, bedrest and pain control were frst performed for three weeks along with the use of teriparatide for 6-month and supplementation of calcium and vitamin D. Aferwards, sitting and standing with wearable orthoses were gradually implemented. Afer 1 year, the patient achieved bone fusion and was able to walk by herself, and there was radiological correction of the initial segmental lordotic curvature and disappearance of the intravertebral gap caused by the extension-distraction fracture.
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참고문헌 (18)
참고문헌 신청
Burke DC / 1971 / Hyperextension injuries of the spine / J Bone Joint Surg Br 53:3~12
Elgafy H / 2007 / Three-column ligamentous extension injury of the thoracic spine: a case report and review of the literature / Spine (Phila Pa 1976) 32:E785~E788
Hall SE / 1999 / A case-control study of quality of life and functional impairment in women with long-standing vertebral osteoporotic fracture / Osteoporos Int 9:508~515
Halvorson TL / 1994 / Effects of bone mineral density on pedicle screw fixation / Spine (Phila Pa 1976) 19:2415~2420
Jae Wook Kim / 2018 / The Effect of Postoperative Use of Teriparatide Reducing Screw Loosening in Osteoporotic Patients / 대한신경외과학회지 61(4):494~502
Elgafy H / 2007 / Three-column ligamentous extension injury of the thoracic spine: a case report and review of the literature / Spine (Phila Pa 1976) 32:E785~E788
Hall SE / 1999 / A case-control study of quality of life and functional impairment in women with long-standing vertebral osteoporotic fracture / Osteoporos Int 9:508~515
Halvorson TL / 1994 / Effects of bone mineral density on pedicle screw fixation / Spine (Phila Pa 1976) 19:2415~2420
Jae Wook Kim / 2018 / The Effect of Postoperative Use of Teriparatide Reducing Screw Loosening in Osteoporotic Patients / 대한신경외과학회지 61(4):494~502
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