摘要
目的:探讨骨质疏松性骨折风险与脊柱活动能力的相关性。方法:利用FRAX骨折风险测评工具计算107位中老年人10年内主要骨质疏松性骨折的发生概率,同时采用Idiag SpinalMouse脊柱电子测量仪测量受检者从直立位到前屈位胸椎曲度变化(直-屈胸曲变化)、直立位到前屈位腰椎曲度变化(直-屈腰曲变化)、直立位到背伸位胸椎曲度变化(直-伸胸曲变化)、直立位到背伸位腰椎曲度变化(直-伸腰曲变化)、负重位时的胸椎曲度变化(负重胸曲变化)、负重位时的腰椎曲度变化(负重腰曲变化)及负重位时的躯干前倾角变化(负重前倾角变化)。结果:受检者10年内主要骨质疏松性骨折的发生概率为(10.55±5.91)%,与直-屈胸曲变化(14.55°±5.74°)呈负相关(r=-0.315,P=0.001),与负重胸曲变化(5.50°±5.26°)和负重前倾角变化(2.35°±2.91°)呈正相关(r=0.235,P=0.015;r=0.283,P=0.003)。结论:骨质疏松性骨折风险与胸椎活动能力及保持脊柱形态的能力相关。
Objective：To analyse the correlation between risk of osteoporotic fracture and spinal mobility. Methods：The fracture risk assessment tool（FRAX） was used to determine 10 -year risk of major osteoporotic fracture in 107 old people. Meanwhile, such parameters of the patients were measured with a SpinalMouse （Idiag, Switzerland）as the thoracic curvature changes from upright position to anterior flexion position （uptight -flexional thoracic curvature changes）, the lumbar curvature changes from upright position to anterior flexion posi- tion（ upright- flexional lumbar curvature changes） ,the thoracic curvature changes from upright position to dorsiflexion position（ upright - stretch thoracic curvature changes ）, the lumbar curvature changes from upright position to dorsiflexion position （ upright - stretch lumbar curvature changes）, the thoracic curvature changes in weight -bearing position （weight -bearing thoracic curvature changes） , the lumbar curvature change in weight - bearing position （ weight - bearing lumbar curvature changes） and anteversion angle changes of the trunk in weight - beating position （ weight - beating anteversion angle changes）. Results： The occurrence probability of major osteoporotic fracture was（ 10.55 ＋ 5.91 ）% in the patients within ten years, and it was negatively correlated with upright -flexional thoracic curvature changes （ （ 14.55° ± 5.74 o ）, r = -0.315, P = 0.001 ）, and was positively correlated with weight - bearing thoracic curvature changes and weight - bearing anteversion angle changes （ （5.50°） ± 5.26°） ） , r = 0. 235, P = 0. 015 ; （ 2.35 °） ± 2.91 °） ） , r = 0. 283, P = 0. 003 ）. Conclusion： Tile risk of osteoporotic fracture were related to the activity ability of thoracic vertebra and the ability of spine to keep its normal shape.
出处
《中医正骨》
2013年第9期16-18,21,共4页
The Journal of Traditional Chinese Orthopedics and Traumatology
基金
国家自然科学基金资助项目(30700893)
湖州市科技攻关计划资助项目(2010GS09)
关键词
骨质疏松
骨折
脊柱
相关分析
危险性评估
Osteoporosis
Fractures, bone
Spine
Correlation analysis
Risk assessment
