Year 2020, Volume 4 , Issue 1, Pages 53 - 57 2020-01-02

Osteoporozlu hastalarda vertebral kırıklar ve spinopelvik parametreler
Vertebral fractures and spinopelvic parameters in patients with osteoporosis

Türkan TURGAY [1] , Mehmet Ali İKİDAĞ [2] , Pinar Gunel KARADENİZ [3] , Murat ULUTAŞ [4]


Amaç: Kemik mineral yoğunluğu (KMY) genellikle yaşlı bireylerin kırık riski değerlendirmesini gösterir ancak vertebral kırık durumunun değerlendirilmesini içermez. Biz bu çalışmada osteoporozlu hastalarda spinal sagital denge bozukluğu ve pelvik uyum bozukluklarını araştırmayı ve vertebral kırıkların (VK) tahmini göstergelerini tanımlamayı amaçladık.
Yöntemler: Bu retrospektif kohort çalışmada 50 yaş üzeri 70 osteoporoz hastası dahil edildi. Hastalar vertebral kırıkları olan; 29 VK(+) ve olmayan; 41 VK(-) olmak üzere iki gruba ayrıldı. Demografik ve klinik özellikler ile Görsel Analog Skala ile ölçülen sırt ağrısı skorları dosya taraması yolu ile elde edildi. Lateral radyolojik inceleme ile sagital vertebral aks (SVA), spinal ve pelvik parametreler değerlendirildi. Tüm parametreler her iki grupta da karşılaştırıldı ve bu parametrelerin VK üzerindeki etkisi analiz edildi.
Bulgular: Vertebral kırığı olan ve olmayan hastalarda femur boynu KMY, sakral eğim, lomber lordoz ve ağrı skorlarının anlamlı derecede farklı olduğu bulundu (sırasıyla P=0.016, P=0.032, P=0.010, P<0.001). Bununla birlikte, lomber omurga KMY, pelvik
tilt, pelvik insidans ve torakal kifoz açısından anlamlı bir fark gözlenmedi (sırasıyla P=0.394, P=0.313, P=0.258, P=0.341). Sakral eğim ile lomber lordoz arasında pozitif anlamlı bir korelasyon bulunmuştur (sırasıyla r=0.54, P=0.03 ve r=0.50, P=0.001). Lojistik regresyon sonuçlarına göre SVA >50 mm ve ağrı skorları VK’ın belirleyicileriydi.
Sonuç: Osteoporozlu hastalarda omurga deformitesi omurga parametreleriyle açıklanabilir. Çalışmamızda osteoporoz hastalarında ağrı ve sagital dengesizliğin, vertebral kırıkların göstergeleri olduğu sonucuna varıldı.
Aim: Bone mineral density (BMD) generally assesses fracture risk in the elderly but is not included in assessment of vertebral fracture status. In this study we aimed to investigate spinal alignment and pelvic orientation in patients with osteoporosis and identify indicators of vertebral fractures (VFs).
Methods: Seventy patients above 50 years of age with osteoporosis were included in this retrospective cohort study. Patients were allocated to two groups comprising 29 patients with and 41 patients without VFs. Demographic and clinical characteristics and back pain scores evaluated by Visual Analogue Scale were obtained by scanning patient files. Sagittal vertebral axis (SVA), spinal and pelvic parameters were evaluated with lateral radiography. All parameters and their effect of VFs were compared in both groups. 
Results: Femoral neck BMD, sacral slope, lumbar lordosis, and pain scores were significantly different in patients with and without VFs (P=0.016, P=0.032, P=0.010, P<0.001, respectively). However, no significant difference was observed in terms of lumbar spine BMD, pelvic tilt, pelvic incidence, and thoracic kyphosis (P=0.394, P=0.313, P=0.258, P=0.341, respectively). Sacral slope and lumbar lordosis were positively correlated in patients with and without VFs (r=0.54, P=0.003 and r=0.50, P=0.001, respectively). SVA>50 mm and pain scores were predictors of VFs according to results of logistic regression. 
Conclusion: The spinal deformity in patients with osteoporosis may be explained by the spinal parameters. In our study, we concluded that pain and sagittal imbalance in osteoporosis patients are important parameters for vertebral fractures.
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Primary Language en
Subjects Surgery, General and Internal Medicine, Geriatrics and Gerontology, Radiology, Nuclear Medicine, Medical Imaging, Rehabilitation
Journal Section Research article
Authors

Orcid: 0000-0002-6348-3340
Author: Türkan TURGAY (Primary Author)
Institution: SANKO UNIVERSITY, FACULTY OF MEDICINE
Country: Turkey


Orcid: 0000-0003-4004-9645
Author: Mehmet Ali İKİDAĞ
Institution: SANKO UNIVERSITY, FACULTY OF MEDICINE
Country: Turkey


Orcid: 0000-0003-3768-2351
Author: Pinar Gunel KARADENİZ
Institution: SANKO UNIVERSITY, FACULTY OF MEDICINE
Country: Turkey


Orcid: 0000-0001-8156-5393
Author: Murat ULUTAŞ
Institution: SANKO UNIVERSITY, FACULTY OF MEDICINE
Country: Turkey


Dates

Publication Date : January 2, 2020

Bibtex @research article { josam674311, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {53 - 57}, doi = {10.28982/josam.674311}, title = {Vertebral fractures and spinopelvic parameters in patients with osteoporosis}, key = {cite}, author = {Turgay, Türkan and İki̇dağ, Mehmet Ali and Karadeni̇z, Pinar Gunel and Ulutaş, Murat} }
APA Turgay, T , İki̇dağ, M , Karadeni̇z, P , Ulutaş, M . (2020). Vertebral fractures and spinopelvic parameters in patients with osteoporosis . Journal of Surgery and Medicine , 4 (1) , 53-57 . DOI: 10.28982/josam.674311
MLA Turgay, T , İki̇dağ, M , Karadeni̇z, P , Ulutaş, M . "Vertebral fractures and spinopelvic parameters in patients with osteoporosis" . Journal of Surgery and Medicine 4 (2020 ): 53-57 <http://jsurgmed.com/en/pub/issue/51597/674311>
Chicago Turgay, T , İki̇dağ, M , Karadeni̇z, P , Ulutaş, M . "Vertebral fractures and spinopelvic parameters in patients with osteoporosis". Journal of Surgery and Medicine 4 (2020 ): 53-57
RIS TY - JOUR T1 - Vertebral fractures and spinopelvic parameters in patients with osteoporosis AU - Türkan Turgay , Mehmet Ali İki̇dağ , Pinar Gunel Karadeni̇z , Murat Ulutaş Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.674311 DO - 10.28982/josam.674311 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 53 EP - 57 VL - 4 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.674311 UR - https://doi.org/10.28982/josam.674311 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Vertebral fractures and spinopelvic parameters in patients with osteoporosis %A Türkan Turgay , Mehmet Ali İki̇dağ , Pinar Gunel Karadeni̇z , Murat Ulutaş %T Vertebral fractures and spinopelvic parameters in patients with osteoporosis %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 1 %R doi: 10.28982/josam.674311 %U 10.28982/josam.674311
ISNAD Turgay, Türkan , İki̇dağ, Mehmet Ali , Karadeni̇z, Pinar Gunel , Ulutaş, Murat . "Vertebral fractures and spinopelvic parameters in patients with osteoporosis". Journal of Surgery and Medicine 4 / 1 (January 2020): 53-57 . https://doi.org/10.28982/josam.674311
AMA Turgay T , İki̇dağ M , Karadeni̇z P , Ulutaş M . Vertebral fractures and spinopelvic parameters in patients with osteoporosis. J Surg Med. 2020; 4(1): 53-57.
Vancouver Turgay T , İki̇dağ M , Karadeni̇z P , Ulutaş M . Vertebral fractures and spinopelvic parameters in patients with osteoporosis. Journal of Surgery and Medicine. 2020; 4(1): 53-57.