흉요추부 골다공성 압박 골절과 동반된 천골 기능부전 골절 - 동반 빈도와 고위험 인자에 대해- (Sacral Insufficiency Fracture with Osteoporotic Compression Fracture of the Thoracolumbar Spine - Incidence and High Risk Factors -)

서지정보

· 발행기관 : 대한척추신경외과학회
· 수록지 정보 : Neurospine / 6권 / 2호 / 75 ~ 80페이지
· 저자명 : 이호범, 유찬종, 이상구, 김우경, 박찬우, 홍지명

초록

Objective: The sacral insufficiency fractures (SIFs) are not uncommon and usually occur in osteoporotic bone with minimal
or unremembered trauma. Especially, if they are accompanied by osteoporotic compression fracture of the thoracolumbar
spine, SIFs can be usually overlooked due to subtle clinical symptoms and signs coupled with radiographic
findings. The review aims to be raising awareness of the incidence & risk factors of the SIFs.
Methods: We retrospectively reviewed the 252 patients who were admitted at our hospital due to osteoporotic compression
fracture of the thoracolumbar spine with minimal or unremembered trauma for 5 years. We assessed the incidence
of the SIF being accompanied by osteoporotic compression fracture of the thoracolumbar spine and the effects
according to sex, age, probable risk factors (diabetes mellitus & arterial hypertension), the location of fracture and the
severity of osteoporosis.
Results: 252 patients, including 36 men (14.3%) and 216 women (85.7%) were involved in this study and the osteoporotic
compression fractures were located at thoracic (36 cases), thoracolumbar junction (180 cases), lumbar spine
(36 cases). There are 18 cases (the incidence: 7.1%), including 2 men (5.5%) and 16 women (7.4%) in which the SIF was
accompanied by osteoporotic compression fracture of the thoracolumbar spine. The effects according to sex, age,
probable risk factors, the location of fracture and the severity of osteoporosis were not statistically different in both
groups (group with SIF and group without SIF).
Conclusion: The clinicians need to consider the possibility of SIF in patients of osteoporotic compression fracture of
the thoracolumbar spine.

영어초록

Objective: The sacral insufficiency fractures (SIFs) are not uncommon and usually occur in osteoporotic bone with minimal
or unremembered trauma. Especially, if they are accompanied by osteoporotic compression fracture of the thoracolumbar
spine, SIFs can be usually overlooked due to subtle clinical symptoms and signs coupled with radiographic
findings. The review aims to be raising awareness of the incidence & risk factors of the SIFs.
Methods: We retrospectively reviewed the 252 patients who were admitted at our hospital due to osteoporotic compression
fracture of the thoracolumbar spine with minimal or unremembered trauma for 5 years. We assessed the incidence
of the SIF being accompanied by osteoporotic compression fracture of the thoracolumbar spine and the effects
according to sex, age, probable risk factors (diabetes mellitus & arterial hypertension), the location of fracture and the
severity of osteoporosis.
Results: 252 patients, including 36 men (14.3%) and 216 women (85.7%) were involved in this study and the osteoporotic
compression fractures were located at thoracic (36 cases), thoracolumbar junction (180 cases), lumbar spine
(36 cases). There are 18 cases (the incidence: 7.1%), including 2 men (5.5%) and 16 women (7.4%) in which the SIF was
accompanied by osteoporotic compression fracture of the thoracolumbar spine. The effects according to sex, age,
probable risk factors, the location of fracture and the severity of osteoporosis were not statistically different in both
groups (group with SIF and group without SIF).
Conclusion: The clinicians need to consider the possibility of SIF in patients of osteoporotic compression fracture of
the thoracolumbar spine.

참고자료

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