TO STUDY THE PROGNOSTIC VALUE OF MSCT AND MRI EXAMINATIONS IN ELDERLY PATIENTS
Keywords:
spine, compression fractures, vertebro-medullary conflict, vertebral body densityAbstract
The main reason for the focus of compression fractures is recurrence, and recurrence of compression fractures is 4 times more common than the occurrence of first compression fractures. A patient with a compression fracture for the first time has a 25% risk of recurrence in the next 10 years. With the help of MSKT and MRI examinations, the limits of clinical and neurological changes in the recurrence of compression fractures and stenosis of the thoracic and lumbar vertebrae have been determined.
References
Broadband ultrasound attention predicts fractures strongly and independently of densitometry in older women. A prospective study. Study of Osteoporotic Research Group / D.C. Bauer [et al.] // Arch. Intern. Med. 1997. Vol. 157, No 6. P. 629-634.
Brown J.P., Josse R.G. Scientific Advisory Council of the Osteoporosis Society of Canada. 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada // CMAJ. 2002. Vol. 167, Suppl. 10. P. S1-34.
Felsenberg D., Silman A.J., Lunt M. et al. Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study (EPOS). J. Bone Miner. Res. 2002; 17: 716–724.; ohnell O., Kanis J. Epidemiology of osteoporotic fractures. Osteoporosis Int. 2005; 16: S3–S7.
Hodsman A.B., Leslie W.D., Tsang J.F. et al. 10-year probability of recurrent fractures following wrist and other osteoporotic fractures in a large clinical cohort: an analysis from the Manitoba Bone Density Program. Arch. Intern. Med. 2008; 168: 2261–2267.
Mull R.T. Mass estimates by computed tomography: physical density from CT numbers. Am. J. Roentgenol. 1984; 143: 1101–1104.
Pickhardt P.J., Lee L.J., del Rio A.M. et al. Simultaneous screening for osteoporosis at CT colonography: bone mineral density assessment using MDCT attenuation techniques compared with the DXA reference standard. J. Bone Miner. Res. 2011; 26: 2194–2203.
Евстигнеева Л. П. Диагностика остеопороза позвоночника (систематический обзор) // Клиницист. 2007. № 6. С. 3-10.
Михайлов Е. Е., Меньшикова Л. В., Ершова О. Б. Эпидемиология остеопороза и переломов в России // Российский конгресс по остеопо-розу: науч. программа и тез. Ярославль: Литера, 2003. С. 44.
Шармазанова Е. П., Мягков С. А., Еремеева Н. Д., Костюковская А. Е. Магнитно-резонансная томографическая семиотика остеопоротических компрессионных переломов позвоночника// Ортопедия, травматология и протезирование. 2012. № 4: 62–68. IS2SN 0030-5987.