骨粗しょう症性臨床椎体骨折多数回例の検討

概要

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We studied multiple clinical vertebral fractures in osteoporosis during a period of four years at the Mito Hospital. There were 41 cases (128 vertebras) whose average age was 78 years, and average follow up period was 22 months. The frequency of fractures was in the order of lumbar(L2-5) for the first time, lumbar for the second time, thoracic(T4-11) for the first time, thoracic for the second time. Prevalent vertebral fractures made up 80% of all patients, who suffered prevalent changes of posture in standing. Postural changes were seen in 30% of all patients with the increase in kyphotic angles and vertebral collapse ratio. There was a tendency for increased kyphotic angle and collpse of verteral height in the breakage of the posterior of the posterir vertebral wall. Early diagnoses decreased the intensity of the treatment of osteoporosis.
西日本整形・災害外科学会の論文