| Comparison of the Epidemiologic and Clinical Characteristics of the Acute Osteoporotic Compression Fracture between Elderly Male and Female |
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Tae Kwon Kim , Sung Han Oh , Chung Jae Lee , Jong Kook Rhim , Bong Sub Chung |
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Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam-City, Gyeonggi-Do, Korea |
| 노인 남성과 여성에서 골다공성 급성 척추체 압박 골절의 발생 역학과 임상적인 특징에 대한 비교 |
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김태권ㆍ오성한ㆍ이충재ㆍ임종국ㆍ정봉섭 |
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분당제생병원 신경외과 |
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| Abstract |
Objective
To compare the epidemiologic and clinical characteristics of elderly male patients with female patients who underwent percutaneous
vertebroplasty or kyphoplasty for acute osteoporotic compression fractures.
Methods
Retrospectively, we analyzed total 233 patients (male 33, female 200) according to the epidemiology, bone mineral density (BMD),
body mass index (BMI) and fracture segments using Fisher’s exact test and T-test as a statistical analysis.
Results
The secondary osteoporosis was more frequently found in the elderly male patients compared with the female patients (p=0.025).
Particularly, alcohol abuse and/or smoking were more possible independent factors causing secondary osteoporosis in male patients compared
with female patients (p=0.001). More than 65% of all patients had some degree of trauma history and fall was a major event in both groups.
Mostly their body weights were within normal range in both groups. In male patients, T-score (standardized normal score) of BMD was much
lower in the lumbar bodies than femur neck (p=0.000). Above 75% of the fracture segments were in the thoracolumbar junction in both groups.
There were no differences in the involvement of multiple segments and old fractures between two groups. The compression rate was not
significantly higher in the male group than female group.
Conclusion
It is essential for the healthy elderly life to find and correct the risk factors of fall. To drink in moderation and quit smoking are
correctable habits for the secondary osteoporosis. |
| Key Words:
Compression fractureㆍMaleㆍOsteoporosisㆍSpine |
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