Osteoporotik Vertebra Kırıklarının Retrospektif Analizi

Year 2023, , 319 - 323, 20.12.2023

Ali Akar

https://doi.org/10.46332/aemj.1220863

Abstract

Amaç: Osteoporotik vertebra kırığı (OPVK) ileri yaşlarda oldukça sık görülen patolojilerdir. Bu çalışma ile OPVK hastaların, osteoporoz (OP) düzeyleri ve tedavi alışkanlıkları ile OPVK nedenleri ve tedavi şekilleri arasındaki ilişkiyi ortaya koymayı amaçladık.

Araçlar ve Yöntem: OPVK nedeni tedavi edilen 50 yaş üzeri 65 olgu retrospektif olarak incelendi. Hastaların müracaatları esnasında OP tanısı (var-yok) ve tedavileri (var-yok) olup olmadığına göre ayrıldı. OPVK tedavisi esnasındaki DEXA sonuçlarına göre hastalar osteopeni (T skoru -1 ve -2.5 arası) ve OP (T skoru<-2.5) olarak iki gruba ayrıldı. OPVK nedenlerine göre trafik kazası, düşme ve travma yok ve tedavi şekillerine göre medikal, kifoplasti ve posterior stabilizasyon olarak 3 gruba ayrıldı.

Bulgular: Hastaların OPVK nedeni ile kliniğimize müracaatı esnasında hiçbirinde OP tanısının olmadığı, dolayısı ile OP medikal tedavisi almadığı görüldü. Kadın ve erkek cinsiyet arasında DEXA değerlerinde anlamlı bir fark olduğu tespit edildi (p=0.045). Yaş kategorisi ve OPVK nedenleri ile DEXA değerlerinin arasında anlamlı bir ilişki yoktu (p=0.144, p=0.163).

Sonuç: Osteoporoz ve OPVK yaşam süresi uzadıkça giderek daha büyük ve daha önemli bir halk sağlığı sorunu haline gelmektedir. OPVK’dan korunmak için, OP’nin erken tanı ve tedavisi önemlidir. OP ve tarama yöntemleri için farkındalığın arttırılması gerekmektedir.

Keywords

Osteoporoz, Vertebra Kırığı, Tedavi, Kifoplasti

Supporting Institution

yok

Retrospective Analysis of Osteoporotic Vertebral Fractures

Abstract

Purpose: Osteoporotic vertebral fracture (OPVC) is a common pathology in the elderly. In this study, we aimed to investigate the relationship between osteoporosis (OP) levels and the treatment habits of OPVC patients, as well as the causes and treatment modalities of OPVC.

Material and Methods: We retrospectively analyzed 65 cases over 50 years of age who were treated for OPVC. Patients were divided based on whether they had a diagnosis of OP (yes or no) and whether they received treatments (yes or no) at the time of their application. According to DEXA results during OPVC treatment, patients were categorized into two groups as osteopenia and OP. They were also divided into three groups based on the causes of OPVC: traffic accident, fall, and no trauma, and into three groups based on the treatment methods: medical treatment, kyphoplasty, and posterior stabilization.

Results: None of the patients had a diagnosis of OP at the time of their application to our clinic for OPVC, and therefore, they did not receive medical treatment for OP. We observed a significant difference in DEXA values between male and female genders (p=0.045). However, there was no significant relationship between age categories, causes of OPVC, and DEXA values (p=0.144, p=0.163).

Conclusion: Osteoporosis and OPVC are becoming increasingly significant public health problems as life expectancy continues to rise. Early diagnosis and treatment of OP are essential in preventing OPVC. Awareness regarding OP and screening methods needs to be increased.

Keywords

Osteoporosis,, Vertebral Fracture, Treatment, Kyphoplasty

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