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Rehabilitation Practice and Science

Translated Title

老年女性急性背痛併有脊柱壓迫性骨折之部位與形態研究

Abstract

In many cases acute back pain in aged women is caused by vertebral compression fractures. Although the indirect mortality rate among these patients is not as high as in those with hip fractures, the effect of acute back pain on patients’ daily lives and social activities should not be underestimated. This study was performed to understand the distribution of the location and type of vertebral compression fractures in this particular group of women and their relations to bone mineral density.This retrospective study consisted of medical record and X-ray examinations of 126 women patients who complained of acute back pain, were diagnosed with vertebral compression fracture(s) and hospitalized for rehabilitation from July 1998 to June 2001. Patients younger than 60, who were hospitalized more than once and who had obvious external injuries were excluded from the study. The study included complete records of 90 patients with 108 vertebral compression fractures. Several different types of fractures were found: 65 (60%) anterior wedge fractures, 30 (28%) concave fractures and 13 (12%) crush fractures. Fracture locations were at L1 (31, 29%), T12 (30, 28%), L3 (15, 14%) and L2 (13, 12%). Further analysis showed no difference between the type of fracture and the patient’s age or bone mineral density (p=0.35 vs. 0.17). The most common location of vertebral compression fractures in aged women with acute back pain was the lumbar spine where it met the thoracic spine; the most common fracture type was a wedge fracture. No significant correlation was found between fracture type and patients’ age or bone mineral density.

Language

Traditional Chinese

First Page

181

Last Page

186

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