골다공증성 척추골절의 진단 = Diagnosis of Osteoporotic Spinal Fractures

다국어 초록 (Multilingual Abstract)

Study Design: Literature review.
Objectives: To present updated information on the diagnosis of osteoporotic spinal fractures (OSFs).
Summary of Literature Review: Conventional modalities including simple radiographs, bone mineral density (BMD) tests, and bone scans are sufficient for diagnosis of OSFs. However, other clinical and radiographic clues should be considered for prediction of the prognosis and differential diagnosis.
Materials and Methods: Review of the relevant literature.
Results: Clinical clues including morphometric changes in the vertebral body are sufficient for diagnosis of OSFs. BMD testing is helpful for diagnosis of osteoporosis. However, simple radiographs and BMD tests do not present sufficient information on the prognosis of OSFs. The location of the involved segments, morphological characteristics, and other co-morbidities should be taken into consideration in the initial management of OSFs. Moreover, pathologic conditions leading to spinal fractures should be taken into account in some clinical situations.
Conclusions: With increasing reports of complicated OSFs or other pathologic fractures, other diagnostic modalities and clinical factors should be considered in predicting the prognosis of OSFs and differentiating OSFs from other pathologic conditions.

국문 초록 (Abstract)

연구 계획: 문헌 고찰.
목적: 골다공증성 척추골절의 진단과 관련된 최신의견을 제시하고자 한다.
선행 문헌의 요약: 골다공증성 척추골절을 진단하기 위해서는 임상 소견과 단순방사선 검사, 골밀도, 골주사 검사 등의 영상검사로 충분하다. 그러나 골절의 예후를 예측하고, 다른 병적골절과 감별하기 위해서는 다른 영상적, 임상적 요소를 고려하여야 한다.
대상 및 방법: 문헌 고찰결과: 단순방사선 검사 상의 척추체의 형태학적 변화과 임상소견으로 골다공증성 척추골절의 진단은 충분하다. 골밀도 검사는 골다공증의 진단에 도움이 되며, 골절의 예측과의 관련성이 제시되고 있다. 그러나, 골절의 예후에 대한 충분한 정보를 제공하지는 못한다. 골절의 위치, 골절의 형태학적 특징및 동반질환 등의 임상적, 영상학적 요소가 고려되어야 한다. 또한, 다른 병적 골절과의 감별도 고려하여야 할 것이다.
결론: 합병증이 동반되는 골다공증성 척추골절의 보고가 증가하고 있으며, 임상적 요소와 함께 추가적인 영상적 정보가 골다공증성 척추골절의 예후예측 및 감별진단에 도움이 될 것이다.

참고문헌 (Reference)

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