死亡时脊椎骨折的发生率
Noriko Ogawa1,2, Masahiro Yamamoto3, Rie Kobayashi4
1Department of Internal Medicine 1, Shimane University Faculty of Medicine, Shimane, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan. noriko.o@med.shimane-u.ac.jp.
Journal of bone and mineral metabolism
|January 13, 2025
概括
在日本,脊椎骨折 (VFs) 在死亡时非常普遍,影响了69.6%的个人. 尸体解剖成像计算机断层扫描 (AiCT) 显示女性的风率较高,并且与之前的股骨部骨折手术有关.
科学领域:
- 老年学是一门学科.
- 放射学 放射学是一门学科.
- 法医病理学 法医病理学
背景情况:
- 脊椎骨折 (VFs) 是一个重大的健康问题,但在日本人口中死亡时的患病率在很大程度上仍未被描述.
- 现有的关于风疹发病率的研究往往集中在活着的人口或特定年龄组,在了解死后发病率方面存在差距.
研究的目的:
- 通过使用尸检成像计算机断层扫描 (AiCT) 在日本队列中确定死亡时脊椎骨折 (VFs) 的患病率.
- 分析已故个体中VF的分布,严重程度和潜在的相关因素.
主要方法:
- 评估了一组为解剖学解剖捐赠的365具日本尸体 (平均年龄84.6岁).
- 脊椎骨折的诊断从部到腰椎使用半定量Genant技术对尸检CT扫描 (AiCT).
主要成果:
- 死亡时VF的总体患病率为69.6%,女性 (81.4%) 的患病率高于男性 (58.5%).
- 腰椎骨折比胸椎骨折 (46.0%) 更常见 (58.1%),其中L1脊椎是最常见的位置.
- 3级严重性骨折在女性中明显更为普遍,并且与部部骨折的外科干预史有关.
结论:
- 解剖成像计算机断层扫描 (AiCT) 显示,与以前的研究相比,在这个日本队列中,死亡时脊椎骨折 (VF) 的患病率更高.
- 这些发现凸显了日本老年人群中,特别是女性中,风险性肌痛的严重负担,并表明与先前的骨创伤有关.
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