Volume : IV, Issue : VII, July - 2015

OSTEOPOROTIC SPINE FRACTURES: INCIDENCE AND MANAGEMENT OUTCOME

Dr Karn P Maheshwari, Dr Gaurav H Mehta, Dr Parthiv J Raval, Dr Yagnesh Bakraniya, Dr Mohit M Patel, Dr Shaival S Dalal

Abstract :

 INTRODUCTION Multiple medical treatments available for Osteoporotic verteal compression fractures including hormone replacement therapy, calcitonin, and bisphosphonates––are effective in maintaining or increasing bone mass and reducing the risk of compression fracture. MATERIALS AND METHODS 60 patients attending Civil Hospital Ahmedabad during July,2012 to July to April 2014 were included in study. OBSERVATIONS AND RESULTS The study consists of 60 cases of osteoporotic verteal fractures. The data analyzed to the following findings. Fracture rate is high in the age group of 61–70 and female to male ratio of 2. Rate of osteoporosis and osteomalacia increased drastically in age groups above 60 years which is associated with increased BMI. PCS score improvement was more in Verteoplasty (avg 12.0 –18.0) compared with calcitonin and teriparatide (avg 6.0–12.0). MCS score improvement was more in Verteoplasty (avg 12.0 – 18.0) compared calcitonin and teriparatide (avg 6.0 –12.0). Mean recovery period for calcitonin is observed to be 140 days teriparatide to be 60 days and for verteoplasty to be 15 days. CONCLUSION All patients of osteoporotic verteal fractures should be given initial conservative treatment for 6 weeks in the form of calcium, vitamin D3, acing and analgecics. At the end of 6 wks, patients who have intolerable pain, vaccum sign on MRI and who are willing and fit for surgery should be operated for verteoplasty under general or local anaesthesia, whereas patients who have relief in pain were continued conservative treatment alongwith anti–osteoporotic medications like calcitonin or teriparatide. However there is no significant difference in the treatment due to either calcitonin or teriparatide as calcitonin is associated with lower efficacy but higher compliance due to easy mode of delivery and immediate pain relief, while teriparatide has higher efficacy but lower compliance due to high treatment cost and no immediate pain relieving effect.Teriparatide therapy is preferred for those who have repeated and multiple new–onsetverteal compression fractures (VCF).

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Karn P Maheshwari, Dr Gaurav H Mehta, Dr Parthiv J Raval, Dr Yagnesh Bakraniya, Dr Mohit M Patel, Dr Shaival S Dalal Osteoporotic Spine Fractures: Incidence and Management Outcome International Journal of Scientific Research, Vol : 4, Issue : 7 July 2015

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