Alauddin KOCHAİ, Utku GÜRÜN, Metin ÖZALAY, Mustafa UYSAL

The Correlation Between The Degenerative Changes and Osteoporosis in The Lumbar Spine of Elderly Patients

Amaç Bel ağrısı etiyolojisinde osteoporoz ve omurga dejenerasyonunu rol oynamakta, ancak bu ikisinin arasındaki ilişki tamamen belirgin değildir. Bu çalışmanın amacı osteoporoz ve omurga degenerasyonun arasındaki ilişkiye açıklık getirmek ve osteoporozun omurga dejenerasyonun üzerindeki etkisini araştırmak. Bu çalışmaya bel ağrısı olan 55 yaş üstü 82 hasta alındı. Hastalar kemik mineral indeksine göre osteoporotik ve osteopenik olarak iki gruba ayrıldı. Lomber dejeneratif değişiklik kriteri olan disk patolojisi, faset artrozu ve vertebra cisim kırığı gibi morfolojik değişiklikler,osteofitler, konkavite indeksi tüm hastalar için değerlendirildi. Dejeneratif değişikliklerin sınıflaması için gradleme sistemi kullanıldı. . Sonuç İki grup arasında vücut kitle indeksinde farklılık saptanmadı. Ancak iki grup arasında disk dejenerasyonu (p< 0.001), faset artrozu (p=0,009), diskopati derecesinde (p

Yaşlı Hastalarda Lomber Degeneratif Değişikliklerin Osteoporoz İle İlişkisi

Background Both of Osteoporosis and spinal degeneration are in the etiology of the low back pain in elderly person but their correlation is not entirely clear. The aim of the study is to explore the relationship between osteoporosis and spinal degeneration and effects of osteoporosis on components of spinal degeneration. . We studied on eighty two patients older than 55 years old who had low back pain. The patients were divided in two groups which were osteoporotic and osteopenic according to the bone mineral index. Criteria of lumbar degenerative changes were evaluated for all patients, which were disc pathologies, facet arthrosis and morphological changes of vertebral body such as vertebral fracture, osteophytes and concavity index. Grading systems were used for classification of degenerative changes. Results Mean BMI of subjects in two groups were not different but a significant difference between groups according to the disc degeneration (p< 0.001), facet arthrosis (p=0,009), discopathy degree (p

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