Clinical Significance of Supine Corrective Radiography for Spinal Fractures with Osteoporosis.

概要

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Spinal fractures in patients with osteoporosis frequently occur in the thoracolumbar region. Malunion or delayed union of the fracture causes continuous back pain or delayed paralysis. Proper treatment appeared to be beneficial for patients with osteoporosis, after assessing the state of the fracture by computed tomography.Spinal fractures can cause local kyphosis, and this can be corrected by spine corrective radiography.We studied the radiographs obtained by this method in 47 patients with thoracolumbar fractures. Contiguous vertebral deformity after an injury was able to distinguish between new and old fractures. During the healing process, corrective radiography showed the state of bony union.Patients satisfactorily corrected by our regimen of treatment gained good aligned body union.There were several advantages of this method, including ease of performing without requiring further equipment, easy diagnosis of new fractures, assessment of bony healing and instability of the fractured body.
西日本整形・災害外科学会の論文