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요추부 척추관 협착증을 가진 50세 이상 여자 환자의 골다공증 또는 슬관절 퇴행성 관절염의 유병율

Other Titles
 The Prevalence of Osteoporosis or Degenerative Osteoarthritis of Knee in Female Patients with Lumbar Spinal Stenosis Over 50 Years 
Authors
 이병호 ; 박훈 ; 문성환 ; 이환모 ; 김남현 ; 박시영 ; 김학선 ; 문은수 ; 김호중 ; 김승현 
Citation
 Korean Journal of Bone Metabolism(대한골대사학회지), Vol.18(1) : 33~38, 2011 
Journal Title
 Korean Journal of Bone Metabolism(대한골대사학회지) 
ISSN
 1598-107X 
Issue Date
2011
Abstract
OBJECTIVE: To evaluate the prevalence of osteoporosis and degenerative knee osteoarthritis (OA) in female patients over 50 years, who were surgically indicated for lumbar spinal stenosis (LSS). METHODS: The study subjects were 76 female patients who underwent spinal surgery for LSS between January and December 2006. Radiographs of thoracolumbar spine, hip and knee were taken. Osteoporotic profiles including lumbar and hip bone mineral density (BMD) measurements and proper treatment of osteoporosis were investigated. RESULTS: The mean age was 65.1 (50~86) years old. Seven-teen patients (22.4%) and nine-teen patients (25.0%) had spine and hip BMD below a T score of -2.5. Thirty-two patients (48.0%) and four patients (5.2%) had knee and hip OA of K-L grade III and IV each. Old thoracolumbar osteoporotic compression fractures were confirmed in 6 patients (7.8%). Forty-eight percent (48.0%) of enrolled patients had hypovitaminosis D. According to osteoporosis guidelines from the Korean Society of Bone Metabolism, 31 patients (40.7%) qualified to be candidates of intensive osteoporosis treatments. CONCLUSION: The prevalence of osteoporosis and knee OA in LSS patients was 25.0% and 42.1%. Based on checking up BMD and knee OA in female patient with LSS, proper treatments of osteoporosis and degenerative knee OA should be considered.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94807
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Orthopedic Surgery
Yonsei Authors
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