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KMID : 0438219740110010589
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Korea University Medical Journal
1974 Volume.11 No. 1 p.589 ~ p.595
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Clinical Observation of Compression Fractures of Spine Associated with Osteoporosis
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Shim Jai-Ik
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Abstract
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The writer has made an observation on various clinical features in 31 cases with clinically detectable osteoporosis out of 97 patients who had compression fracture of the spine during 3 and a half years from March 1970 to Aug. 1973.
The results obtained are summerized as follows.
1 The incidence of osteoporosis in 97 cases of compression fractures involving the spine was 32%(31 out of 97 cases), and osteoporosis was more prevalent in the female with a 1.6:1 ratio of female to male.
2. The peak age incidence was found in 7th decade (45%). About 90% of the cases were over 50 years of age, and only one case was under 30.
3. The most common cause of fracture in those osteoporotics was fall-down from a height (38.7%), and in only one case the fracture was thought to be caused by longcontinued use of corticosteroids
4. The sites of predilection for compression fracture of the spine were 1st lumbar (25.8%), 12th thoracic (22.8%), and 1st and 2nd lumber vertebrae (12.9%) First degree osteoporosis comprised 45% and third degree osteoporosis was found in 13%.
5. The fractures involving other sites besides the spine were found in 15(48.4%) out of 31 cases, Colles´ fracture being the most frequent one (5 cases).
6. The majority of the cases (81 %) have been cured by conservative measure while the remaining 6 cases (19%) were treated surgically. Laminectomy, was done in 3 cases and posterior spinal fusion was performed in other 3 .cases
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