OSTEOPOROZUN DEĞERLENDİRİLMESİNDE VERTEBRAL ÖLÇÜMLER

Günümüzde iskeletin değişik bölgelerinde kemik kütlesinin, kemik dansitesinin ve kemik mineral içeriğinin saptanması için çeşitli metodlar kullanılmaktadır. Bu çalışmada bu yöntemlerden en basiti olan konvansiyonel grafilerle, en gelişmiş teknik olan kemik mineral dansitometrisi arasındaki ilişkiyi araştırdık. Çalışamaya alınan 37 hastanın vertebra yükseklikleri konvansiyonel grafilerle ölçülüp aynı seviyedeki kemik mineral dansitometri değerleriyle karşılaştırıldı. Çalışma sonucunda; BMD değerleriyle vertebra yüksekliklerindeki kayıplar arasında istatistiksel olarak anlamlı bir ilişki bulunamadı.

Anahtar Kelimeler:

Osteoporoz, Konvansiyonel grafi, Vertebral Kemik Dansitometrisi

ASSESMENT OF OSTEOPOROZIS WITH VERTEBRAL MEASUREMENTS

Different methods are used recently in order to measure bone mass, bone densitometry and bone mineral value of the different parts of the skeleton. In this study simple conventional radiography and conventional radiography (BMD) was compared.Thirty-seven patients were included. Radiographic measurement of vertebral body height was compared with the bone mineral densitometric value of the same level.There was no difference between the BMD value and vertebral height loss statistically

Keywords:

Osteoporozis, conventional radiography, conventional radiography,

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[1] Halling A, Persson GR,Berglund J, Johansson O, Renvert S. Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mine density in the elderly. Osteoporosis. 53:67-72) 2004
[2] Hayashi K, Yamada M, Nakamura T. Vertebral measurements for assessment of osteoporosis. Journall of Radiology.67:(759-763) 1993
[3] Pacifici R, Susman N, Carr P. Single and dual energy tomographic analysis of spinal trabekuler bone a comparative study ın normal and osteoporotic women.J Clın. Endocrınol.70:(705-710) 1990
[4] Chappard C, Brunet-Imbault B, Lemineur G, Giraudeau B, Basillais R, Benhamou CL.Anisotropy changes in post-menopausal osteoporosis: characterization by a new index applied to trabeculer bone radiographic images. Osteoporos Int. 65:710-718)2005
[5] Barondess DA, Singh M, Hendrix SL, Nelson DA. Radiographic measuraments, bone mineral density, and the Singh Index in the proximal femır of white and black postmenopausal women. Dis Mon. 48(10):637-46) 2002
[6] Hermann A, Rrixen K, Andersen J et al. Reference values for vertebral heights in Scandinavian females and males. A. Radiol. 34:48-52) 1993
[7] Spector TD, McCloskey EV, Doyle DV. Prevalence of vertebral fracture in women and the relationship with bone density and symptoms: the Chingford study. J. Bone Miner Res. 8:817-822) 1993
[8] Gallagher JC, Hedlund DR, Stoner S et al. Vertebral morphometry normative data. B ONE Miner. 4:189-196)1998
[9] Sallin U, Mellstrom D, Eggertsen R. Osteoporosis in a nursing home, determined by the DEXA technigue. Med Sci Monit. 24:11-113)2005