Vertebral fracture in postmenopausal Chinese women: a population-based study

Chen, L.; Xia, Weibo; Jiang, Yan; Cui, Lü; Huang, Wei; Wang, W.; Wang, Xuefeng; Pei, Yu; Zheng, Xin; Wang, Q.; Ning, Zhiwei; Li, M.; Wang, O.; Xing, Xiaoping; Lin, Qian; Yu, Wei; Weng, Xisheng; Xu, Li; Cummings, Steven R.

doi:10.1007/s00198-017-4085-1

Cited by 52 publications

(51 citation statements)

References 41 publications

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“…The prevalence of vertebral fracture in post-menopausal females in Shanghai was relatively lower than that in Beijing among all age group according to a recent study [7] : 11.1% vs. 22.6% among 60 to 69 years group, 20.0% vs. 31.4% among 70 to 79 years group, and 30.1% vs. 58.1% among older than 80 years group, respectively. Similarly, the prevalence among males in Shanghai was also lower than that in Hong Kong, [5] which also focused on community-dwelling males using the same method, with 14.4% vs. 15.2% in the 65 to 69 years group, 17.9% vs. 19.9% in the 70 to 79 years group, and 19.8% vs. 35.9% in aged older than 80 years, respectively.…”

mentioning

confidence: 97%

Prevalence of osteoporotic vertebral fracture among community-dwelling elderly in Shanghai

Gao

et al. 2019

Chinese Medical Journal

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confidence: 97%

Prevalence of osteoporotic vertebral fracture among community-dwelling elderly in Shanghai

Gao

et al. 2019

Chinese Medical Journal

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“…Authors' information 1 Department of Orthopedics, The A liated Hospital of Southwest Medical University, No. 25 Taiping Street,Luzhou 646000 Sichuan,China.…”

Section: Resultsmentioning

confidence: 99%

“…Osteoporotic vertebral fractures(OVFs) often lead to pain, spinal deformity, and even the decline of the cardiopulmonary and digestive functions, signi cantly affecting the quality of life of the elderly [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Percutaneous Kyphoplasty under Different Types of Anesthesia for the Treatment of Multiple Osteoporotic Vertebral Fractures

Zhang

Yang

et al. 2020

Preprint

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Background Surgeons believe that the advantage of PKP under local anesthesia for the treatment of OVF in preventing interference with the general situation of elderly patients with multiple organ dysfunction. Surgeons can directly assess whether a spinal cord nerve injury occurs while the patient is awake. However, when patients with m-OVFs receive local anesthesia, fluoroscopy time often has to be increased,the operative time has to be extended, or the operation has to be terminated because of body posture-related discomfort, the toxic reaction of bone cement, and abrupt fluctuation of vital signs. No relevant study has thus far been conducted on the choice of the type of anesthesia to administer to patients undergoing PKP for m-OVFs.This study aimed to determine which of the two types of anesthesia is more suitable for PKP for m-OVFs. Methods A retrospective study was conducted for 159 patients who underwent PKP for m-OVFs from January 2016 to January 2020; 81 patients underwent PKP under general anesthesia(Group G), and 78 patients underwent PKP under local anesthesia(Group L). Clinical and adverse events were compared between the two groups. Results No difference in baseline information was found between the two groups. The intraoperative mean arterial pressure, average heart rate, average fluoroscopy times of each vertebral body, and operative time were less in Group G than in Group L. The VAS score was significantly lower than that before operation. The AVH, MVH, and the KA were significantly improved in both groups postoperation. The improvement in VAS score, AVH, MVH, and KA in Group G were higher than those in Group L. No significant difference in the incidence of complications was observed between the two groups. Conclusion PKP under either general anesthesia or local anesthesia was reliable. Compared with PKP under local anesthesia, that under general anesthesia could more reliably maintain the stability of vital signs, alleviate preoperative pain in patients, and attain a better orthopedic effect. Moreover, the latter does not increase the complications of patients with m-OVFs. However, the high medical expense of PKP under general anesthesia is a factor to consider when choosing the type of anesthesia.

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“…Furthermore, vertebral fractures are often asymptomatic, so the incidence of selfreported vertebral fractures is often inaccurate, and a radiological examination is required for confirmation. The prevalence of radiographic vertebral fractures in China increases from 13% between ages 50 and 59 to over 50% after age 80 years [21]. A CT scout view image can be obtained with low radiation dose, and can be used to detect vertebral fracture [22,23] with good agreement with a conventional X-ray [24].…”

Section: Discussionmentioning

confidence: 99%

The association of calcium intake with osteoporotic vertebral fractures in a large Chinese cohort

Lu¹,

Cheng

et al. 2020

Aging

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The effect of calcium on prevention of osteoporosis and related fracture which are aging issues is unclear. The aim of this study is to explore the association of calcium intake with vertebral fracture. This study enrolled 3,457 participants from China Action on Spine and Hip Status (CASH) study from 2013 and 2017. Dietary calcium intake was collected using validated food frequency questionnaires (FFQ). Vertebral fracture of CT images was defined as the primary outcome. The mean calcium intake of men and women were 522.75mg/day and 507.21mg/day, respectively. 6% reduction in the odds of fracture risk was observed per 100 unit increase of calcium intake from food among females (OR, 0.94; 95% CI, 0.89-0.99), but results among males were not significant. We divided calcium intake into quintiles when modelling its associations with fracture risk, negative associations of fracture risk with calcium intake were found among females. In a population with low usual calcium intake, higher dietary calcium intake was associated with fewer vertebral fracture in women and that no such association was seen in men.

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Vertebral fracture in postmenopausal Chinese women: a population-based study

Cited by 52 publications

References 41 publications

Prevalence of osteoporotic vertebral fracture among community-dwelling elderly in Shanghai

Prevalence of osteoporotic vertebral fracture among community-dwelling elderly in Shanghai

Analysis of Percutaneous Kyphoplasty under Different Types of Anesthesia for the Treatment of Multiple Osteoporotic Vertebral Fractures

The association of calcium intake with osteoporotic vertebral fractures in a large Chinese cohort

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