Classification of vertebral compression fractures in the osteoporotic spine
Classification of vertebral compression fractures in the osteoporotic spine
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DOI：
10.1097/01.bsd.0000168716.23440.61
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发表时间：
2005-08-01
影响因子：
--
通讯作者：
Kubo, T
中科院分区：
文献类型：
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作者：
Sugita, M;Watanabe, N;Kubo, T
目的：本研究的目的是澄清之间的关系，最初的X线片的骨质疏松性椎体压缩骨折（VCFs）和临床result.Methods：在135 VCFs在老年人，73例连续患者（84个椎体）进行了回顾性分析。所有患者均未进行刚性固定。受试者包括15名男性和58名女性。平均年龄为75.0岁，范围为61 - 91岁。根据侧位片将早期影像学特征分为五型。根据塌陷椎体和真空裂隙的数量评价随访期间的X线片结果。结果：5种骨折类型中，前膨型、弓形型和突出型骨折预后差，塌陷较晚，常呈真空裂隙。凹型和凹陷型骨折预后较好，几乎达到融合。最终随访时，28例真空裂隙患者的临床结果为一般。19名患者有轻微背痛，9名患者有中度背痛。关于日常生活活动，4例患者行走困难。
Objective: The purpose of this study was to clarify the relationship between initial radiographs of osteoporotic vertebral compression fractures (VCFs) and clinical results.Methods: Of the 135 VCFs in the elderly, 73 consecutive patients (84 vertebrae) were reviewed retrospectively. All patients were treated without rigid immobilization. The subjects consisted of 15 men and 58 women. The mean age was 75.0 years with a range from 61 to 91 years. The early radiographic features were classified into five types based on lateral radiographs. Radiographic results during follow-up were evaluated according to the number of collapsed vertebrae and vacuum clefts. Clinical results were evaluated by Visual Analog Scale and activities of daily living.Results: Of the five types, swelled-front-type, bow-shaped-type, and projecting-type fractures had a poor prognosis with late collapse and often showing a vacuum cleft. On the other hand, concave-type and dented-type fractures had a good prognosis and almost achieved fusion. Clinical results of 28 patients with vacuum clefts were fair at the final follow-up. Nineteen patients had little back pain, and nine patients experienced moderate back pain. Regarding the activities of daily living, four patients had difficulty walking.