发生脊椎骨折的长期风险
Jane A Cauley1, Marc C Hochberg, Li-Yung Lui
1Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA. jcauley@edc.pitt.edu
骨矿物质密度 (BMD) 低的女性和以前的脊椎骨折在15年内面临新的骨折的风险明显更高. 早期识别和干预对于治疗骨质疏松症和预防进一步的骨质损失至关重要.
科学领域:
- 老年学是指老年学的学科.
- 整形外科 整形外科 整形外科
- 内分泌学 在内分泌学.
背景情况:
- 脊椎骨折是最常见的骨质疏松性骨折.
- 低骨矿物密度 (BMD) 和常见骨折的妇女的脊椎骨折的长期绝对风险是不确定的.
研究的目的:
- 根据BMD和普遍的脊椎骨折状况,检查发生脊椎骨折的15年绝对风险.
主要方法:
- 对9704名白人妇女进行的纵向队列研究 (骨质疏松性骨折研究).
- 分析包括2680名女性,平均跟踪14.9年.
- 通过放射学识别的事件脊椎骨折;用双能X射线吸收计测量的BMD.
主要成果:
- 18.2%的女性经历了发生的脊椎骨折.
- 患有常见脊椎骨折的女性,发生性骨折的几率是4.21倍.
- 绝对风险范围从56% (低BMD,患有骨折) 到9% (正常的BMD,没有患有骨折).
结论:
- 低BMD和普遍的脊椎骨折独立预测15年内新的脊椎骨折.
- 患有常见脊椎骨折的女性,发生骨折的绝对风险大大增加,特别是如果有骨质疏松症.
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