지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Purpose: The purpose of this study is to determine the ideal period of brace application for thoracolumbar (T10-L2) osteopor-otic vertebral compression fracture (OVCF) based on the progression of the vertebral compression with passage of time and to evaluate the factors associated with progression of thoracolumbar OVCF, when treated conservatively.Materials and Methods: This retrospective study included a total of 46 patients who were diagnosed with thoracolumbar OVCF and could be followed-up for at least 6 months. In this study, the increase of compression rate and the mean slope of compression rate per weeks were compared between two periods (from diagnosed date to 8 weeks and from 8 weeks to 6 months), as the standard point. Age, bone mineral density (BMD), osteoporosis treatment after injury, diabetes mellitus (DM) as underlying disease were also compared between two groups (setting up 15% as standard point of increase of compression rate, ＜15% and ≥15%). Statistical analyses were performed using the paired t-test to assess the increase of compression rate and using the linear mixed model to assess the mean slope change. The relationships between the factors and progression of compression were analyzed using t-test, chi-square test, and logistic regression analysis.Results: The increase of compression rate was 13.03% and 1.97% in each period and the difference between those two periods was 11.06% (p=0.00). At 8 weeks of follow-up, the mean slope was reduced by 1.12 (p=0.00). No statistically sig-nificant difference in related factors was observed between two groups.Conclusion: Considering the increase of compression rate with passage of time, brace should be applied strictly for an initial 8 weeks. And age, BMD, osteoporosis treatment after injury, and DM as underlying disease are not predictors of progression of compression in vertebral fractures.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Borgström F / 2006 / Costs and quality of life associated with osteoporosis-related fractures in Sweden / Osteoporos Int 17:637~650
Johnell O / 2006 / An estimate of the worldwide prevalence and disability associated with osteoporotic fractures / Osteoporos Int 17:1726~1733
Hasserius R / 2005 / Long-term morbidity and mortality after a clinically diagnosed vertebral fracture in the elderly: a 12-and 22-year follow-up of 257 patients / Calcif Tissue Int 76:235~242
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
Klazen CA / 2007 / VERTOS II: percutaneous vertebroplasty versus conservative therapy in patients with painful osteoporotic vertebral compression fractures; rationale, objectives and design of a multicenter randomized controlled trial / Trials 8:33
Johnell O / 2006 / An estimate of the worldwide prevalence and disability associated with osteoporotic fractures / Osteoporos Int 17:1726~1733
Hasserius R / 2005 / Long-term morbidity and mortality after a clinically diagnosed vertebral fracture in the elderly: a 12-and 22-year follow-up of 257 patients / Calcif Tissue Int 76:235~242
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
Klazen CA / 2007 / VERTOS II: percutaneous vertebroplasty versus conservative therapy in patients with painful osteoporotic vertebral compression fractures; rationale, objectives and design of a multicenter randomized controlled trial / Trials 8:33
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