■臨床医のために
骨粗鬆症性脊椎椎体骨折
元文 芳和
日本医科大学大学院医学研究科感覚運動機能再建学
Osteoporotic Vertebral Fracture
Yoshikazu Gembun
Division for Restorative medicine of neuro-muscuroskeletal system, Graduate School of Medicine, Nippon Medical School
In Japan, the prevalence of vertebral fractures, which increases with age, is about 10% in persons in their 60s and 35% in persons in their 70s. Vertebral fracture is considered a fragility fracture, which can be caused even by minor trauma. Diagnosis tends to be difficult with plain x-ray films, and computed tomography and magnetic resonance are likely to be helpful. Prognoses are particularly poor in cases with low bone density, cases with fractures at the transition from thoracic to lumbar vertebrae, cases with injury to the posterior walls, and cases in which treatment is delayed. The most important issue is fracture prevention by appropriately treating osteoporosis. When fracture does occur, it must be diagnosed early and treated effectively.
日医大医会誌 2009; 5(2), 125-129
Key words
spinal fracture, osteoporosis, diagnosis
Correspondence to
Yoshikazu Gembun, Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku Tokyo 113-8603, Japan
E-mail：ortho@nms.ac.jp
受付：2008年12月1日 受理：2009年2月12日 |
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