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Do osteoporosis-related vertebral fractures precede hip fractures?

World Journal of Orthopedics 2012年第12期3卷 235-238页

作者： Mir Sadat-Ali abid hussain gullenpet Md Quamar Azam Ammar K Al-Omran Department of Orthopaedic Surgery College of Medicine University of Dammam and King Fahd Hospital of the University Al Khobar 31952 Saudi Arabia Department of Radiology College of Medicine University of Dammam and King Fahd Hospital of the University Al Khobar 31952 Saudi Arabia

AIM:To evaluate the relationship between a vertebral fracture and a hip fracture in Saudi Arabians with ***:In this retrospective study,154 Saudi Arabian patients with osteoporosis-related hip fractures were analyzed for the presence of a vertebral *** were retrieved from the IPAC(Image Picture Archiving and Computing)System,an imaging retrieval system,and were reviewed independently by two of the authors,abid hussain gullenpet,and Mir Sadat-Ali,and later reviewed *** admitted with proximal hip fracture who were≥50 years and had undergone Thoraco-lumber imaging and a dual energy X-ray absorptiometry(DEXA)scan were included in the *** with a history of significant trauma to the spine and those with a malignancy or connective tissue disorder were excluded from the ***:Out of 154 patients with hip fractures,78had a fracture of the femoral neck while 76 had an intertrochanteric hip *** the 111 patients whowere finally included in the study,after applying inclusion and exclusion criteria,76 patients with an average age of 67.28±12 years had no fractures of the ***-five patients with an average age of 76.9±14.5years(31.53%)had a total of 49 vertebral *** with vertebral fractures were significantly older than those without fractures P<***,24.7%of these patients had an asymptomatic vertebral *** analysis showed that 11 males(18.96%)and 24 females(45.28%)had suffered a previous asymptomatic vertebral ***,all women who participated in this study and who presented with a femoral neck fracture had experienced a prior asymptomatic vertebral ***:We recommend that all elderly patients who go to the radiology department for a chest X-ray also have a DEXA scan and a lateral thoracic spine radiograph.

关键词： Fragility fracture Osteoporosis Vertebral fractures Hip fractures Saudi Arabia

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