Vertebral Fracture in Postmenopausal Women with and without Osteoporosis

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 det...

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Main Authors: Merih Özgen, Onur Armağan, Selen Kuzgun, Fulya Bakılan, Funda Berkan, Fezan Şahin Mutlu
Format: Article
Language:English
Published: Galenos Yayinevi 2017-08-01
Series:Türk Osteoporoz Dergisi
Subjects:
Online Access:http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/vertebral-fracture-in-postmenopausal-women-with-an/16614
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author Merih Özgen
Onur Armağan
Selen Kuzgun
Fulya Bakılan
Funda Berkan
Fezan Şahin Mutlu
author_facet Merih Özgen
Onur Armağan
Selen Kuzgun
Fulya Bakılan
Funda Berkan
Fezan Şahin Mutlu
author_sort Merih Özgen
collection DOAJ
description 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.
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spelling doaj.art-77c96281e0b747b6b0453c635f50860c2023-02-15T16:11:37ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532017-08-01232576010.4274/tod.38233Vertebral Fracture in Postmenopausal Women with and without OsteoporosisMerih Özgen0Onur Armağan1Selen Kuzgun2Fulya Bakılan3Funda Berkan4Fezan Şahin Mutlu5Eskişehir Osmangazi Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Eskişehir, TürkiyeEskişehir Osmangazi Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Eskişehir, TürkiyeEskişehir Devlet Hastanesi, Zübeyde Hanım Fizik Tedavi ve Rehabilitasyon Merkezi, Eskişehir, TürkiyeEskişehir Devlet Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Eskişehir, TürkiyeEskişehir Osmangazi Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Eskişehir, TürkiyeEskişehir Osmangazi Üniversitesi Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Eskişehir, TürkiyeObjective: 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.http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/vertebral-fracture-in-postmenopausal-women-with-an/16614Osteoporosispostmenopausal womanvertebral fracture
spellingShingle Merih Özgen
Onur Armağan
Selen Kuzgun
Fulya Bakılan
Funda Berkan
Fezan Şahin Mutlu
Vertebral Fracture in Postmenopausal Women with and without Osteoporosis
Türk Osteoporoz Dergisi
Osteoporosis
postmenopausal woman
vertebral fracture
title Vertebral Fracture in Postmenopausal Women with and without Osteoporosis
title_full Vertebral Fracture in Postmenopausal Women with and without Osteoporosis
title_fullStr Vertebral Fracture in Postmenopausal Women with and without Osteoporosis
title_full_unstemmed Vertebral Fracture in Postmenopausal Women with and without Osteoporosis
title_short Vertebral Fracture in Postmenopausal Women with and without Osteoporosis
title_sort vertebral fracture in postmenopausal women with and without osteoporosis
topic Osteoporosis
postmenopausal woman
vertebral fracture
url http://www.turkosteoporozdergisi.org/archives/archive-detail/article-preview/vertebral-fracture-in-postmenopausal-women-with-an/16614
work_keys_str_mv AT merihozgen vertebralfractureinpostmenopausalwomenwithandwithoutosteoporosis
AT onurarmagan vertebralfractureinpostmenopausalwomenwithandwithoutosteoporosis
AT selenkuzgun vertebralfractureinpostmenopausalwomenwithandwithoutosteoporosis
AT fulyabakılan vertebralfractureinpostmenopausalwomenwithandwithoutosteoporosis
AT fundaberkan vertebralfractureinpostmenopausalwomenwithandwithoutosteoporosis
AT fezansahinmutlu vertebralfractureinpostmenopausalwomenwithandwithoutosteoporosis