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Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study
INTRODUCTION: The purpose of this study was to assess radiological features and clinical scores of osteoporotic vertebral fracture (OVF) accompanied by spinous process fracture (SPF). METHODS: We included painful patients with single-level OVF with intravertebral cleft. SPF was detected using magnet...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society for Spine Surgery and Related Research
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995117/ https://www.ncbi.nlm.nih.gov/pubmed/35478979 http://dx.doi.org/10.22603/ssrr.2021-0066 |
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author | Nakamae, Toshio Kamei, Naosuke Fujimoto, Yoshinori Yamada, Kiyotaka Ujigo, Satoshi Adachi, Nobuo |
author_facet | Nakamae, Toshio Kamei, Naosuke Fujimoto, Yoshinori Yamada, Kiyotaka Ujigo, Satoshi Adachi, Nobuo |
author_sort | Nakamae, Toshio |
collection | PubMed |
description | INTRODUCTION: The purpose of this study was to assess radiological features and clinical scores of osteoporotic vertebral fracture (OVF) accompanied by spinous process fracture (SPF). METHODS: We included painful patients with single-level OVF with intravertebral cleft. SPF was detected using magnetic resonance imaging (MRI) and/or computed tomography (CT). The plain radiographs of the vertebral fractures were evaluated based on the wedging angle of the fractured vertebrae and vertebral instability. We investigated the clinical parameters of age, gender, visual analog scale (VAS) score for low back pain (LBP), Oswestry Disability Index (ODI), and the period from the onset of acute fracture. RESULTS: MRI and/or CT indicated among 195 patients of OVF with LBP, 41 patients (20.5%) had SPFs. SPFs were observed one level above the fractured vertebral body in 35 patients (85.4%) and at the same level as the fractured vertebral body in 6 patients (14.6%). The prevalence of vertebral fracture of thoracic spine in the SPF-positive group was significantly greater than that in the SPF-negative group. There were no significant differences in age, gender, VAS, ODI, the time period from the onset of acute LBP, wedging angle, and vertebral instability between the presence or absence of SPFs. CONCLUSIONS: SPFs occurred in 20.5% of patients with OVF and LBP. In addition, SPFs often occurred one level above the fractured vertebra, and SPFs with OVF tended to be located in the thoracic spine. |
format | Online Article Text |
id | pubmed-8995117 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society for Spine Surgery and Related Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-89951172022-04-26 Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study Nakamae, Toshio Kamei, Naosuke Fujimoto, Yoshinori Yamada, Kiyotaka Ujigo, Satoshi Adachi, Nobuo Spine Surg Relat Res Original Article INTRODUCTION: The purpose of this study was to assess radiological features and clinical scores of osteoporotic vertebral fracture (OVF) accompanied by spinous process fracture (SPF). METHODS: We included painful patients with single-level OVF with intravertebral cleft. SPF was detected using magnetic resonance imaging (MRI) and/or computed tomography (CT). The plain radiographs of the vertebral fractures were evaluated based on the wedging angle of the fractured vertebrae and vertebral instability. We investigated the clinical parameters of age, gender, visual analog scale (VAS) score for low back pain (LBP), Oswestry Disability Index (ODI), and the period from the onset of acute fracture. RESULTS: MRI and/or CT indicated among 195 patients of OVF with LBP, 41 patients (20.5%) had SPFs. SPFs were observed one level above the fractured vertebral body in 35 patients (85.4%) and at the same level as the fractured vertebral body in 6 patients (14.6%). The prevalence of vertebral fracture of thoracic spine in the SPF-positive group was significantly greater than that in the SPF-negative group. There were no significant differences in age, gender, VAS, ODI, the time period from the onset of acute LBP, wedging angle, and vertebral instability between the presence or absence of SPFs. CONCLUSIONS: SPFs occurred in 20.5% of patients with OVF and LBP. In addition, SPFs often occurred one level above the fractured vertebra, and SPFs with OVF tended to be located in the thoracic spine. The Japanese Society for Spine Surgery and Related Research 2021-06-30 /pmc/articles/PMC8995117/ /pubmed/35478979 http://dx.doi.org/10.22603/ssrr.2021-0066 Text en Copyright © 2022 by The Japanese Society for Spine Surgery and Related Research https://creativecommons.org/licenses/by-nc-nd/4.0/Spine Surgery and Related Research is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Nakamae, Toshio Kamei, Naosuke Fujimoto, Yoshinori Yamada, Kiyotaka Ujigo, Satoshi Adachi, Nobuo Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study |
title | Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study |
title_full | Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study |
title_fullStr | Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study |
title_full_unstemmed | Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study |
title_short | Spinous Process Fractures in Osteoporotic Vertebral Fractures: A Cross-Sectional Study |
title_sort | spinous process fractures in osteoporotic vertebral fractures: a cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995117/ https://www.ncbi.nlm.nih.gov/pubmed/35478979 http://dx.doi.org/10.22603/ssrr.2021-0066 |
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