Vertebral Fracture in Postmenopausal Women with and without Osteoporosis

Abstract

Objective: Osteoporosis (OP) is a major cause of disability, morbidity and mortaliy. Causes are significant economic burden with fractures. Dual energy X-ray absorptiometry (DXA) is the only technique that is defined as the gold standard that the World Health Organization currently recommends in determining the fracture risk. The use of direct radiographic examinations is recommended for the causes of false negative results in densitometric examination and for the detection of fracture presenting as OP indicator in clinical practice. The purpose of this study is a retrospective investigation of the need for DXA methodology, which we routinely use for diagnosis, treatment and follow-up of OP, in patients with fractures by direct radiography. Materials and Methods: The data of 189 postmenopausal women with DXA, lateral thoracic and lumbar graphy without trauma history, retrospectively evaluated. Patients were divided into two groups according to DXA results, group 1 consisted 167 postmenopausal women with OP and group 2 consisted 22 postmenopausal women with no OP. In both groups, patients who have at least one fracture according to thoracic and lumbar graphy were evaluated. Results: At least one vertebrae height loss was detected in 61 (32.28%) of 189 postmenopausal women included in the study. At least one fracture was detected in 49 (29.34%) of 167 patients with OP according to DXA results and 12 (54.55%) of 22 patients without OP. Conclusion: With this study; retrospectively demonstrated the need for follow-up of patients with fractures by direct radiography in conjunction with DXA, the gold standard for OP diagnosis and treatment planning in postmenopausal women. ÖzAmaç: Osteoporoz (OP) önemli bir disabilite, morbidite ve mortalite nedenidir. Neden olduğu kırıklarla önemli bir ekonomik yüke sebep olmaktadır. Dual enerji X-ray absorsiyometri (DXA), Dünya Sağlık Örgütü'nün günümüzde kırık riskinin belirlenmesinde önerdiği, altın standart olarak tanımlanan tek tekniktir. Dansitometrik incelemede yalancı negatif sonuçlara sebep olabilecek nedenleri ve klinik uygulamada OP'nin göstergesi olan kırık varlığının saptanmasında direkt radyografik incelemelerin kullanımı önerilmektedir. Bu çalışmanın amacı; OP tanı, tedavi ve takibinde rutin kullandığımız DXA yönteminin beraberinde, direkt radyografi ile hastaların kırık varlığı bakımından değerlendirilmesi gerekliliğinin retrospektif olarak araştırılmasıdır. Gereç ve Yöntem: Travma hikayesi olmayan, DXA ve lateral torakal ve lomber direkt grafileri bulunan, 189 postmenapozal kadının verileri retrospektif olarak değerlendirmeye alındı. Kayıtlı DXA sonucu ile OP tanısı alan 167 postmenapozal kadın (grup 1) ve OP tanısı almayan 22 postmenapozal kadın (grup 2) iki gruba ayrıldı. Torakal ve lomber lateral grafide en az bir kırığı olan hastaların gruplara göre dağılımı incelendi. Bulgular: Çalışmaya dahil edilen 189 postmenapozal kadının 61'inde (%32,28) en az bir vertebrada yükseklik kaybı tespit edildi. DXA sonucuna göre OP tespit edilen 167 hastanın 49'unda (%29,...

Health belief model - male osteoporosis: a cross-sectional study

“…population will increase as life expectancy at birth increases day by day; in parallel, osteoporosis and osteoporosis-related bone fractures will be encountered more often (4). In this context, while the estimated annual number of hip fractures in Turkey in 2009 was 24,000, this number is expected to reach 64,000 in 2025 (5).…”