| Associated Injury of Osteoporotic Compression Fractures: The Role of
99mTc-MDP Bone Scintigraphy |
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Daewon Joh , Sung Bum Kim , Joo Pyung Kim , Seok Geun Choi, Bong Jin Park , Tae Sung Kim , Bong Arm Rhee , Young Jin Lim |
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Department of Neurosurgery, Graduate School of Medicine, Kyung Hee University, Seoul, Korea |
| 골다공성 척추체 압박 골절에 동반된 손상에 있어서의
골 스캔의 역할 |
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| Abstract |
Objective
Osteoporosis is common finding in geriatric patients. Osteoporotic vertebral fractures are two to three times more frequent
than hip fractures, especially for women. Current operative methods include vertebroplasty and kyphoplasty, which significantly reduce
pain and improve mobility of the patient and consequently, the quality of life. However, concerning too much to the spinal fracture, we
sometimes failed to notice the associated injury. Here, authors showed the prevalence of the associated injury with osteoporotic compression
fracture, and role of Tc-99m MDP bone scintigraphy.
Materials
From March 2005 to June 2007, 57 patients with osteoporotic compression fracture were treated by medical and surgical
treatment. Among them, 39 patients were evaluated by Tc-99m MDP bone scintigraphy to find another bony lesion. We reviewed the whole
body bone scan of 39 patients and analyzed the associated injury.
Results
Fourteen patients (35.9%) out of 39 patients showed associated injury. Among the associated injuries, rib fractures were
most common findings (56.5%). Clavicle contusion, lateral condyle fracture, pubic bone fractures were seen. Four patients showed knee joint
arthritis, which may affect the comfortable walking. Three patients showed shoulder joint arthritis.
Conclusion
Authors estimated the prevalence of associated injury in osteoporotic compression fracture (35.8%). Especially rib fractures
or contusion occupied most portions, which is important factor in prone position and hammering of needle in processing the vertebroplasty
and kyphoplasty. We concluded that we most aware of possibility of associated injury and, in that matter, 99mTc-MDP bone scintigraphy
is good modality to detect associated injury of osteoporotic compression fracture. |
| Key Words:
Osteoporotic compression fractureㆍCombined injuryㆍ99mTc-MDP bone scintigraphy |
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