지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 120 - 126 (7page)
- DOI
- 10.5371/hp.2017.29.2.120
이용수
초록· 키워드
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Purpose: To evaluate clinical features and the effect of parathyroid hormone (PTH) on treatment outcomes of patients with pelvic insufficiency fractures.
Materials and Methods: Fifteen patients diagnosed with pelvic insufficiency fractures were evaluated retrospectively. All patients had osteoporosis with mean lumbar T score of ?3.9 (range, ?3.1 to ?6.4) and the mean age was 76.5 years. In all cases, simple radiography and computed tomography was used for final diagnosis; additional magnetic resonance imaging and technetium bone scans were used to confirm the diagnosis in 2 and 6 patients, respectively. Initial conservative treatment was used in all cases; treatment with PTH was applied in 5 cases. Radiological follow-up was done every 4 weeks up to 6 months and every 3 months thereafter. Symptom improvement was measured using visual analogue scale (VAS) score.
Results: Fractures were located: i) sacrum and pubis (9 cases), ii) isolated sacrum (4 cases) and iii) isolated pubis (2 cases). One case showed fracture displacement and pain aggravation at 4 week follow-up which was treated with percutaneous sacro-iliac fixation using cannulated screws. Duration of bone union was significantly shorter in the patients who used PTH (P<0.05). VAS scores were also lower in the group treated with PTH; however, statistical significance was not reached.
Conclusion: In patients with osteoporosis, a pelvic insufficiency fracture should be considered if pain is experienced in the pelvic area in the absence of major trauma. While nonoperatic has been shown to be sufficient for treatment, our study shows that PTH therapy shortens treatment period and could be a favorable treatment option.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Morris CD / 2005 / Bisphosphonates in orthopaedic surgery / J Bone Joint Surg Am 87:1609~1618
Rodan GA / 2003 / Osteoporosis and bisphosphonates / J Bone Joint Surg Am 85-A(Suppl 3):8~12
고해석 / 2004 / 골다공증을 동반한 대퇴골 간부의 부전 골절 / 대한골절학회지 17(1):19~24
Lourie H. / 1982 / Spontaneous osteoporotic fracture of the sacrum. An unrecognized syndrome of the elderly / JAMA 248:715~717
Finiels H / 1997 / Fractures of the sacrum caused by bone insufficiency. Meta-analysis of 508 cases / Presse Med 26:1568~1573
Rodan GA / 2003 / Osteoporosis and bisphosphonates / J Bone Joint Surg Am 85-A(Suppl 3):8~12
고해석 / 2004 / 골다공증을 동반한 대퇴골 간부의 부전 골절 / 대한골절학회지 17(1):19~24
Lourie H. / 1982 / Spontaneous osteoporotic fracture of the sacrum. An unrecognized syndrome of the elderly / JAMA 248:715~717
Finiels H / 1997 / Fractures of the sacrum caused by bone insufficiency. Meta-analysis of 508 cases / Presse Med 26:1568~1573
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