Analysis of kyphosis, vertebral fracture and bone mineral density measurement in women living in nursing homes

Abstract

Objectives:To analyze the relationship between vertebral fracture, degree of kyphosis, and BMD in women living in nursing homes.Methods:This cross-sectional study was carried out in the Department of Physical Medicine and Rehabilitation, Hitit University Hospital, Corum, Turkey, between January 2014 and January 2015. Of the 126 female patients who participated in the study, 48 lived in nursing homes (nursing-home-group [NHG]), 78 lived in non-nursing home settings (control-group [CG]). Vertebral fractures were evaluated via the semi-quantitative Genant method. Cases in which a Cobb angle measured 40 degrees or more resulted in a diagnosis of kyphosis.Results:The mean age of participants in the NHG was 77.2±7.6 years and 76.8±6.2 years in the CG (p>0.05). The kyphosis rate in the NHG was found to be higher at 52.1% compared to 27.7% for the CG (p<0.001). In the NHG, 68.7% had osteoporosis, 31.3% had osteopenia; in the CG, 55.2% had osteoporosis, 32% had osteopenia, 12.8% had normal values (p<0.05).The vertebral fracture rate was 37.5% in the NHG and 24.3% in the CG (p>0.05). The Cobb angle had correlation with the number of fractures in both groups (p<0.05).Conclusions:The osteoporosis and kyphosis rates of women living in NHG were higher than those of women living in CG. As kyphosis and the number of fractures are correlated, it is important to analyze kyphosis in women residing in NHG.

Influence of the Sagittal Vertical Axis on the Risk of Falls in Community-Dwelling Elderly People: A Retrospective Longitudinal Study

“…Regarding factors related to deterioration in sagittal balance in our study, the prevalence of vertebral fracture and prone trunk extension were significantly associated with the SVA (Fig.2). Recently, investigations have examined that acute pain and morphologic change of the spine from vertebral fracture caused deterioration of SVA 13,14) and that poor back muscle and fore posture were related to sagittal imbalance 2,15) . However, those studies evaluated spinal alignments by Spinal Mouse and entailed on outpatients with back pain.…”

“…The receiver operating characteristic (ROC) curve for the determination of the14 cutoff value for the prediction of falls using sagittal vertical axis. AUC, area under the ROC curve.…”

Comment on: Analysis of kyphosis, vertebral fracture and bone mineral density measurement in women living in nursing homes

“…This is a cross-section case-control study which compares the vertebral fracture, degree of kyphosis, and bone mineral density (BMD) between nursing home group and a control group 1. I guess the 2 groups were matched for the age.…”