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KMID : 0978920020030030043
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Korean Journal of Clinical Geriatrics
2002 Volume.3 No. 3 p.43 ~ p.52
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Clinical manifestations of vertebral compression fractures and their effects for geriatric functional assessment
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Park Kyung-Chae
Kim So-Lim
Kang Young-Gon
Shin Kyung-Kyun
Kim Moon-Jong
Lee Young-Jin
Bae Chul-Young
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Abstract
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Background : Vertebral compression fractures cause the limitation of physical, emotional, and daily living activity in elderly persons. There is no work that evaluates the effects of vertebral compression fractures on the physical, emotional, and daily living activity among Korean elderly patients. Thus, we undertook this study to learn about the clinical consequences and the functional impairment among elderly persons with vertebral compression fractures.
Methods : The 68 patients over 60 years of age who had vertebral comperssion fractures documented in their medical records and admitted to the department of family medicine, Pundang CHA general hospital from September 1995 to June 1999 were enrolled in this study. We reviewed their medical records and investigated the site and the number of vertebral compression fractures, the presence of the associated pain, bone turnover markers and bone mineral density(BMD). The Katz Activities of Daily Living Scale(ADL) and Instrumental Activities of Daily Living Scale(IADL) were used to asses the patient’s physical function, and Geriatric depression scale(GDS) was used to asses the patient’s depression.
Results: 62 women and 6 men comprised the study population. Their mean(±SD) age was 74.16(±6.88) years. 77.8%, 71.2%, 6.1%, and 12.2% of the patients had documented the past medical history of fall, back pain, use of wheel chair and cane, respectively. The mean number of vertebral compression fractures was 2.63(±0.29). Vertebral compression fractures were most commonly located in the L1 and Tl2 spines in sequence. The number of vertebral compression fracture was negatively correlated with BMD, but there was no significance(age adjusted, r=-0.179, p=0.239). There showed no difference of ADL, IADL, and GDS between single fracture and multiple fractures groups(p>.05).
Conclusions : These data showed that the most common sites of vertebral compression fracture were LI and Tl2 spine. And there was no significant difference of functional status between single fracture and multiple fractures groups. But, significant difference of the number of vertebral compression fracture between the two groups who had or dindn’t have back pain was noted in this study population.
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KEYWORD
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vertebral compression fracture, ADL, IADL, GDS
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