Öz
Introduction:
Although genetics and cumulative mechanical stress on an immature skeleton have
been proposed to play a role in the development of the limbus vertebra (LV),
there is no data concerning the actual degree of bone strength and bone loss in
patients with LV.
Aim:
The aim of this study was to evaluate the bone mineral density (BMD) and the
prevalence of osteoporosis in women with LV and compare with age- and body mass
index-matched women.
Material
and Methods: This study was carried out on 171
women (aged 40–49 years) with LV and 190 women without LV. Lumbar spine BMD
values were obtained by dual-energy X-ray absorptiometry.
Results:
A total of 361 patients were included in the study. The mean total BMD value
was significantly lower (0.876 ± 0.155 vs. 0.966 ± 0.187 g/cm2, p < 0.0001),
and the mean T-score value was significantly higher (-1.6 ± 1.41 vs. -0.8 ± 1.71,
p < 0.0001) in patients with LV. Although the frequency of both osteopenia
and osteoporosis were higher in patients with LV, the difference reached
statistical significance only for osteoporosis (p = 0.007).
Conclusion: Women with LV have lower BMD values and higher
osteoporosis rates than age- and BMI-matched controls; therefore, osteoporosis
should be evaluated in these patients.
Anahtar Kelimeler
Bone Mineral Density Limbus Vertebra Osteopenia Osteoporosis Premenopausal
Kaynakça
- Scmorl G. Die pathologische Anatomie der Wirbelsaule. Verhandlungen der Deutschen Orthopadeschen Gesellschaft 1926; 21: 3-41.
- Ghelman B and Freiberger RH. The limbus vertebra: an anterior disc herniation demonstrated by discography. AJR Am J Roentgenol 1976; 127: 854-5
- Yagan R. CT diagnosis of limbus vertebra. J Comput Assist Tomogr 1984; 8: 149-51.
- Acosta V, Pariente E, Lara M, Pini SF, Rueda-Gotor J. Limbus Vertebra and Chronic Low Back Pain. Journal of Family Medicine 2016; 3: 1048.
- Koyama K, Nakazato K, Min S, et al. COL11A1 gene is associated with limbus vertebra in gymnasts. Int J Sports Med 2012; 33: 586-90
- Bennett DL, Nassar L and DeLano MC. Lumbar spine MRI in the elite-level female gymnast with low back pain. Skeletal Radiol 2006; 35: 503-9. DOI: 10.1007/s00256-006-0083-7.
- Hellstrom M, Jacobsson B, Sward L and Peterson L. Radiologic abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol 1990; 31: 127-32.
- Sward L, Hellstrom M, Jacobsson B and Karlsson L. Vertebral ring apophysis injury in athletes. Is the etiology different in the thoracic and lumbar spine? Am J Sports Med 1993; 21: 841-5.
- Jones DM, Tearse DS, el-Khoury GY, Kathol MH and Brandser EA. Radiographic abnormalities of the lumbar spine in college football players. A comparative analysis. Am J Sports Med 1999; 27: 335-38.
- Kolt GS and Kirkby RJ. Epidemiology of injury in elite and subelite female gymnasts: a comparison of retrospective and prospective findings. Br J Sports Med 1999; 33: 312-8.
- Cosman F, de Beur SJ, LeBoff MS, et al. Clinician's Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int 2014; 25: 2359-81.
- Arlot ME, Sornay-Rendu E, Garnero P, Vey-Marty B and Delmas PD. Apparent pre- and postmenopausal bone loss evaluated by DXA at different skeletal sites in women: the OFELY cohort. J Bone Miner Res 1997; 12: 683-90.
- Paker N, Erbil M, Otlu Z, Soy D, Uysal E. Bone mineral density in healthy Turkish women. Journal für Mineralstoffwechsel & Muskuloskelettale Erkrankungen 2005; 12: 73-6.
- Manisali M, Ozaksoy D, Yilmaz E, et al. Bone mineral density reference values in the normal female and male population of Izmir, Turkey. Eur Radiol 2003; 13: 157-62.
- Alkan B, Fidan F, Tosun A, Ardicoglu Ö. Fiziksel Tıp ve Rehabilitasyon Polikliniğimize Başvuran Hastalarda Osteoporoz İnsidansı. Türk Osteoporoz Dergisi 2011; 17: 10-13.
- Tuzun S, Eskiyurt N, Akarirmak U, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012; 23: 949-55.
- Aslan A, Karakoyun O, Guler E, et al. [Evaluation of bone mineral density, osteoporosis prevalence and regional risk factors in Turkish women living in Kastamonu: KASTURKOS study]. Eklem Hastalik Cerrahisi 2012; 23: 62-7.
- Johnell O, Kanis JA, Oden A, et al. Mortality after osteoporotic fractures. Osteoporos Int 2004; 15: 38-42.
Öz
Kaynakça
- Scmorl G. Die pathologische Anatomie der Wirbelsaule. Verhandlungen der Deutschen Orthopadeschen Gesellschaft 1926; 21: 3-41.
- Ghelman B and Freiberger RH. The limbus vertebra: an anterior disc herniation demonstrated by discography. AJR Am J Roentgenol 1976; 127: 854-5
- Yagan R. CT diagnosis of limbus vertebra. J Comput Assist Tomogr 1984; 8: 149-51.
- Acosta V, Pariente E, Lara M, Pini SF, Rueda-Gotor J. Limbus Vertebra and Chronic Low Back Pain. Journal of Family Medicine 2016; 3: 1048.
- Koyama K, Nakazato K, Min S, et al. COL11A1 gene is associated with limbus vertebra in gymnasts. Int J Sports Med 2012; 33: 586-90
- Bennett DL, Nassar L and DeLano MC. Lumbar spine MRI in the elite-level female gymnast with low back pain. Skeletal Radiol 2006; 35: 503-9. DOI: 10.1007/s00256-006-0083-7.
- Hellstrom M, Jacobsson B, Sward L and Peterson L. Radiologic abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol 1990; 31: 127-32.
- Sward L, Hellstrom M, Jacobsson B and Karlsson L. Vertebral ring apophysis injury in athletes. Is the etiology different in the thoracic and lumbar spine? Am J Sports Med 1993; 21: 841-5.
- Jones DM, Tearse DS, el-Khoury GY, Kathol MH and Brandser EA. Radiographic abnormalities of the lumbar spine in college football players. A comparative analysis. Am J Sports Med 1999; 27: 335-38.
- Kolt GS and Kirkby RJ. Epidemiology of injury in elite and subelite female gymnasts: a comparison of retrospective and prospective findings. Br J Sports Med 1999; 33: 312-8.
- Cosman F, de Beur SJ, LeBoff MS, et al. Clinician's Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int 2014; 25: 2359-81.
- Arlot ME, Sornay-Rendu E, Garnero P, Vey-Marty B and Delmas PD. Apparent pre- and postmenopausal bone loss evaluated by DXA at different skeletal sites in women: the OFELY cohort. J Bone Miner Res 1997; 12: 683-90.
- Paker N, Erbil M, Otlu Z, Soy D, Uysal E. Bone mineral density in healthy Turkish women. Journal für Mineralstoffwechsel & Muskuloskelettale Erkrankungen 2005; 12: 73-6.
- Manisali M, Ozaksoy D, Yilmaz E, et al. Bone mineral density reference values in the normal female and male population of Izmir, Turkey. Eur Radiol 2003; 13: 157-62.
- Alkan B, Fidan F, Tosun A, Ardicoglu Ö. Fiziksel Tıp ve Rehabilitasyon Polikliniğimize Başvuran Hastalarda Osteoporoz İnsidansı. Türk Osteoporoz Dergisi 2011; 17: 10-13.
- Tuzun S, Eskiyurt N, Akarirmak U, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012; 23: 949-55.
- Aslan A, Karakoyun O, Guler E, et al. [Evaluation of bone mineral density, osteoporosis prevalence and regional risk factors in Turkish women living in Kastamonu: KASTURKOS study]. Eklem Hastalik Cerrahisi 2012; 23: 62-7.
- Johnell O, Kanis JA, Oden A, et al. Mortality after osteoporotic fractures. Osteoporos Int 2004; 15: 38-42.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Aralık 2018 |
| Kabul Tarihi | 18 Aralık 2018 |
| Yayımlandığı Sayı | Yıl 2018Cilt: 40 Sayı: 4 |