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Correlation Between Clinical Outcomes And Spinopelvic Parameters In Osteoporosis / Jung Sub LEE in Acta Orthopaedica Belgica, Vol 80/4 (Décembre 2014)
[article]
Titre : Correlation Between Clinical Outcomes And Spinopelvic Parameters In Osteoporosis Type de document : texte imprimé Auteurs : Jung Sub LEE, Auteur Année de publication : 2014 Article en page(s) : p.522-528 Langues : Anglais (eng) Mots-clés : osteoporosis sagittal parameters quality of life Résumé : Introduction : Little data is available on the relationship between sagittal spinopelvic parameters and health related quality of life (HRQOL) in osteoporotic patients. The aim of this study was to identify relationships between spinopelvic parameters and HRQOL in osteoporosis. Material and methods : The patient and control groups comprised 138 osteoporotic patients and 40 controls. All underwent anteroposterior and lateral radiography of the whole spine, including hip joints, and completed clinical questionnaires. The radiographic parameters examined were ; sacral slope, pelvic tilt, pelvic incidence, thoracic kyphosis, lumbar lordosis, and sagittal vertical axis. Lumbar spinal bone mineral density (LSBMD) and femoral neck BMD (FNBMD) of the non-dominant proximal femur were measured. A Visual Analogue Scale (VAS : 0-10) was used to assess back pain, and the Oswestry disability index (ODI) questionnaire and the Scoliosis Research Society (SRS-22) questionnaire to evaluate QOL. Statistical analysis was performed to identify significant differences between the patient and control groups. In addition, correlations between radiological parameters and clinical questionnaires were sought. Results : Patients and controls were found to differ significantly in terms of sagittal vertical axis, sacral slope, pelvic tilt, lumbar lordosis, and thoracic kyphosis. However, no significant intergroup difference was observed for pelvic incidence (P > 0.05). Correlation analysis revealed significant relationships between radiographic parameters and clinical outcomes. Multiple regression analysis was performed to identify predictors of clinical outcome, and the results obtained revealed that sagittal vertical axis, sacral slope, and FNBMD significantly predicted VAS, ODI, and SRS- 22 scores and that LSBMD predicted SRS-22 scores. Conclusions : Osteoporotic patients and controls were found to be significantly different in terms of sagittal spinopelvic parameters. Correlation analysis revealed significant relationships between radiographic parameters and clinical outcome variables. In particular, sagittal vertical axis, sacral slope, and FNBMD significantly predicted clinical outcomes in osteoporotic patients. Permalink : ./index.php?lvl=notice_display&id=34673
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.522-528[article] Correlation Between Clinical Outcomes And Spinopelvic Parameters In Osteoporosis [texte imprimé] / Jung Sub LEE, Auteur . - 2014 . - p.522-528.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.522-528
Mots-clés : osteoporosis sagittal parameters quality of life Résumé : Introduction : Little data is available on the relationship between sagittal spinopelvic parameters and health related quality of life (HRQOL) in osteoporotic patients. The aim of this study was to identify relationships between spinopelvic parameters and HRQOL in osteoporosis. Material and methods : The patient and control groups comprised 138 osteoporotic patients and 40 controls. All underwent anteroposterior and lateral radiography of the whole spine, including hip joints, and completed clinical questionnaires. The radiographic parameters examined were ; sacral slope, pelvic tilt, pelvic incidence, thoracic kyphosis, lumbar lordosis, and sagittal vertical axis. Lumbar spinal bone mineral density (LSBMD) and femoral neck BMD (FNBMD) of the non-dominant proximal femur were measured. A Visual Analogue Scale (VAS : 0-10) was used to assess back pain, and the Oswestry disability index (ODI) questionnaire and the Scoliosis Research Society (SRS-22) questionnaire to evaluate QOL. Statistical analysis was performed to identify significant differences between the patient and control groups. In addition, correlations between radiological parameters and clinical questionnaires were sought. Results : Patients and controls were found to differ significantly in terms of sagittal vertical axis, sacral slope, pelvic tilt, lumbar lordosis, and thoracic kyphosis. However, no significant intergroup difference was observed for pelvic incidence (P > 0.05). Correlation analysis revealed significant relationships between radiographic parameters and clinical outcomes. Multiple regression analysis was performed to identify predictors of clinical outcome, and the results obtained revealed that sagittal vertical axis, sacral slope, and FNBMD significantly predicted VAS, ODI, and SRS- 22 scores and that LSBMD predicted SRS-22 scores. Conclusions : Osteoporotic patients and controls were found to be significantly different in terms of sagittal spinopelvic parameters. Correlation analysis revealed significant relationships between radiographic parameters and clinical outcome variables. In particular, sagittal vertical axis, sacral slope, and FNBMD significantly predicted clinical outcomes in osteoporotic patients. Permalink : ./index.php?lvl=notice_display&id=34673 Exemplaires (1)
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Exclu du prêtUse of Calscan for improving osteoporosis care in the older patient admitted with hip fracture / Gijs De Klerk in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Use of Calscan for improving osteoporosis care in the older patient admitted with hip fracture Type de document : texte imprimé Auteurs : Gijs De Klerk, Auteur ; J. Han Hegeman, Auteur ; Detlef Van Der Velde, Auteur Année de publication : 2015 Article en page(s) : p. 23-29 Langues : Français (fre) Mots-clés : Calscan Dual x-ray absorptiometry Osteoporosis Hip fracture Résumé : To determine whether bone mineral density measurement using the Calscan successfully predicts the Actual bone mineral density, as measured by dualenergy X-ray absorptiometry. We included all patients = 65 years with a hip fracture screened on osteoporosis by both dual-energy X-ray absorptiometry and the Calscan during the period April 2008 to April 2011. The bone mineral density was expressed as a T-score. For the Calscan T-score, thresholds were defined such that patients with and without osteoporosis could be identified with 90% certainty. Patients with a Calscan T-score above the upper threshold were considered to be non-osteoporotic and those with a Calscan T-score below the lower threshold considered osteoporotic. Patients whose Calscan T-score lay between the two thresholds could only be classified by means of DXA. The correlation between dual-energy X-ray absorptiometry and the Calscan was 0.61. The Calscan identified approximately 25% of patients as osteoporotic and 25% as non-osteoporotic. The upper threshold was found to be -1.8SD and the lower threshold -3.5SD. Osteoporosis screening by dual-energy X-ray absorptiometry had been carried out in 44% of patients. This percentage could theoretically rise to > 70% if the Calscan is implemented in osteoporosis screening, while costs of such screening appear to be lower, as long as a sufficient number of patients are screened. Permalink : ./index.php?lvl=notice_display&id=35993
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 23-29[article] Use of Calscan for improving osteoporosis care in the older patient admitted with hip fracture [texte imprimé] / Gijs De Klerk, Auteur ; J. Han Hegeman, Auteur ; Detlef Van Der Velde, Auteur . - 2015 . - p. 23-29.
Langues : Français (fre)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 23-29
Mots-clés : Calscan Dual x-ray absorptiometry Osteoporosis Hip fracture Résumé : To determine whether bone mineral density measurement using the Calscan successfully predicts the Actual bone mineral density, as measured by dualenergy X-ray absorptiometry. We included all patients = 65 years with a hip fracture screened on osteoporosis by both dual-energy X-ray absorptiometry and the Calscan during the period April 2008 to April 2011. The bone mineral density was expressed as a T-score. For the Calscan T-score, thresholds were defined such that patients with and without osteoporosis could be identified with 90% certainty. Patients with a Calscan T-score above the upper threshold were considered to be non-osteoporotic and those with a Calscan T-score below the lower threshold considered osteoporotic. Patients whose Calscan T-score lay between the two thresholds could only be classified by means of DXA. The correlation between dual-energy X-ray absorptiometry and the Calscan was 0.61. The Calscan identified approximately 25% of patients as osteoporotic and 25% as non-osteoporotic. The upper threshold was found to be -1.8SD and the lower threshold -3.5SD. Osteoporosis screening by dual-energy X-ray absorptiometry had been carried out in 44% of patients. This percentage could theoretically rise to > 70% if the Calscan is implemented in osteoporosis screening, while costs of such screening appear to be lower, as long as a sufficient number of patients are screened. Permalink : ./index.php?lvl=notice_display&id=35993 Exemplaires (1)
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Exclu du prêtDorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures / Omer Karatoprak in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures Type de document : texte imprimé Auteurs : Omer Karatoprak, Auteur ; Sinan Karaca, Auteur ; Mehmet Nuri Erdem, Auteur Année de publication : 2015 Article en page(s) : p. 65-71 Langues : Anglais (eng) Mots-clés : Distal radius Fracture Osteoporosis Colles Résumé : Distal radius fractures are the most common fractures in the elderly, yet the treatment is controversial and still debated in the literature. Twenty four patients aged older than sixty with distal radial fractures were treated by dorsal nail plate. We compared them with twenty four similar matched patients treated by percutaneous Kirschner wiring surgical method . The patients were operated on by a surgeon experienced in carrying out hand surgery. The purpose of this retrospective review was to compare the clinical and radiological outcomes in elderly patients with displaced distal radial fractures who were treated with either the dorsal nail plate or percutaneous Kirschner wiring surgical procedures. Both groups had high union rates and low complication rates for the treatment of displaced distal radius fractures in elderly patients. However, better functional results can be expected in dorsal nail plate. Permalink : ./index.php?lvl=notice_display&id=36000
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 65-71[article] Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures [texte imprimé] / Omer Karatoprak, Auteur ; Sinan Karaca, Auteur ; Mehmet Nuri Erdem, Auteur . - 2015 . - p. 65-71.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 65-71
Mots-clés : Distal radius Fracture Osteoporosis Colles Résumé : Distal radius fractures are the most common fractures in the elderly, yet the treatment is controversial and still debated in the literature. Twenty four patients aged older than sixty with distal radial fractures were treated by dorsal nail plate. We compared them with twenty four similar matched patients treated by percutaneous Kirschner wiring surgical method . The patients were operated on by a surgeon experienced in carrying out hand surgery. The purpose of this retrospective review was to compare the clinical and radiological outcomes in elderly patients with displaced distal radial fractures who were treated with either the dorsal nail plate or percutaneous Kirschner wiring surgical procedures. Both groups had high union rates and low complication rates for the treatment of displaced distal radius fractures in elderly patients. However, better functional results can be expected in dorsal nail plate. Permalink : ./index.php?lvl=notice_display&id=36000 Exemplaires (1)
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Exclu du prêtKnee mega-prosthesis in the management of complex knee fracture of the elderly : a case series and review of the literature / Gautier Beckers in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Knee mega-prosthesis in the management of complex knee fracture of the elderly : a case series and review of the literature Type de document : texte imprimé Auteurs : Gautier Beckers ; David Mazy ; Philippe Tollet ; Olivier Van Nieuwenhove Année de publication : 2021 Article en page(s) : p. 347-351 Note générale : https://doi.org/10.52628/87.2.21 Langues : Anglais (eng) Mots-clés : distal femur fracture knee mega-prosthesis elderly osteoporosis Résumé : The management of complicated distal femur fractures (DFF) of the elderly continues to pose a challenge. Knee mega-prosthesis are mostly used for Total knee arthroplasty revision and tumor resection surgery but they can be used for the treatment of complex knee fractures. The purpose of the present study is to examine the short- to mid- term outcomes of their use for complex DFF of the elderly. We retrospectively identified 4 patients with DFF AO33C3 on osteoporotic bone treated by total knee arthroplasty from September 2015 to October 2019. The average age at the time of the surgery was 79,5 years (range, 69 to 95 years). All patients were females and underwent a total knee replacement by one senior surgeon, with the OSS TM Orthopaedic Salvage System (Zimmer Biomet, Warsaw, Indiana, USA). Outcome measures included clinical outcome scores, radiological analyses, reoperation rate and complications.
At an average follow-up of 2,3 years (range, 0,6 to 4,2 years), the average Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) was 17,25 (range, 7 to 37), the average Oxford knee score was 35,25 (range, 25 to 41) and the average pain Numerical Rating Scale (NRS) was 0,5 (range, 0 to 1). 3 Patients had postoperative anemia but no implant related complications has been reported.
Complex DFF of the elderly treated with mega knee arthroplasty exhibit good clinical outcomes scores. The patients should be selected carefully as the complication rate found in the literature remains high.Permalink : ./index.php?lvl=notice_display&id=96671
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 347-351[article] Knee mega-prosthesis in the management of complex knee fracture of the elderly : a case series and review of the literature [texte imprimé] / Gautier Beckers ; David Mazy ; Philippe Tollet ; Olivier Van Nieuwenhove . - 2021 . - p. 347-351.
https://doi.org/10.52628/87.2.21
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 347-351
Mots-clés : distal femur fracture knee mega-prosthesis elderly osteoporosis Résumé : The management of complicated distal femur fractures (DFF) of the elderly continues to pose a challenge. Knee mega-prosthesis are mostly used for Total knee arthroplasty revision and tumor resection surgery but they can be used for the treatment of complex knee fractures. The purpose of the present study is to examine the short- to mid- term outcomes of their use for complex DFF of the elderly. We retrospectively identified 4 patients with DFF AO33C3 on osteoporotic bone treated by total knee arthroplasty from September 2015 to October 2019. The average age at the time of the surgery was 79,5 years (range, 69 to 95 years). All patients were females and underwent a total knee replacement by one senior surgeon, with the OSS TM Orthopaedic Salvage System (Zimmer Biomet, Warsaw, Indiana, USA). Outcome measures included clinical outcome scores, radiological analyses, reoperation rate and complications.
At an average follow-up of 2,3 years (range, 0,6 to 4,2 years), the average Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) was 17,25 (range, 7 to 37), the average Oxford knee score was 35,25 (range, 25 to 41) and the average pain Numerical Rating Scale (NRS) was 0,5 (range, 0 to 1). 3 Patients had postoperative anemia but no implant related complications has been reported.
Complex DFF of the elderly treated with mega knee arthroplasty exhibit good clinical outcomes scores. The patients should be selected carefully as the complication rate found in the literature remains high.Permalink : ./index.php?lvl=notice_display&id=96671 Exemplaires (1)
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Exclu du prêtNon-Union Of Osteoporotic Vertebral Fractures – Identification And Treatment Of An Underestimated Pathology In Elderly Patients With Persistent Back Pain / Daniel ADLER in Acta Orthopaedica Belgica, Vol 80/4 (Décembre 2014)
[article]
Titre : Non-Union Of Osteoporotic Vertebral Fractures – Identification And Treatment Of An Underestimated Pathology In Elderly Patients With Persistent Back Pain Type de document : texte imprimé Auteurs : Daniel ADLER, Auteur Année de publication : 2014 Article en page(s) : p.444-450 Langues : Anglais (eng) Mots-clés : persistent back pain osteoporosis vertebral non-union kyphoplasty spine surgery Résumé : Objective : Non-union of osteoporotic vertebra fractures are a seldom entity. However, when back pain persists in the course of conservatively treated osteoporotic vertebra fractures, a non-union should be considered. We thus sought to validate our diagnostic algorithm in patients with known osteoporotic vertebra fractures presenting persistent back pain and advert to the diagnosis and treatment of vertebral non-unions. Patients and Methods : Patients admitted with preexisting osteoporotic vertebra fractures and therapyresistant back pain were retrospectively analysed. All admitted patients were subject to standard plain radiographs in erect position and conventional CT or MR imaging of the spine, respectively. In addition, patients with suspected non-union were subject to lateral fulcrum radiographs in supine position. Results : From a total of 172 admitted patients, four patients presented with non-union of a fractured osteoporotic vertebra (2%). The subsequent surgical therapy included cement-augmented rod-and-screw stabilization, with or without additional correction of deformity, and kyphoplasty (N = 3) or kyphoplasty alone (N = 1). All surgical interventions were successful in pain reduction and allowed immediate and improved postoperative mobilisation. Conclusions : Non-union of osteoporotic vertebra fractures must be considered when symptoms outlast conservative treatment. In these cases, plain lateral fulcrum radiographs are a simple and effective adjunct to the conventional diagnostic methods. Surgical stabilization then proves to be the effective treatment of choice. Permalink : ./index.php?lvl=notice_display&id=34662
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.444-450[article] Non-Union Of Osteoporotic Vertebral Fractures – Identification And Treatment Of An Underestimated Pathology In Elderly Patients With Persistent Back Pain [texte imprimé] / Daniel ADLER, Auteur . - 2014 . - p.444-450.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.444-450
Mots-clés : persistent back pain osteoporosis vertebral non-union kyphoplasty spine surgery Résumé : Objective : Non-union of osteoporotic vertebra fractures are a seldom entity. However, when back pain persists in the course of conservatively treated osteoporotic vertebra fractures, a non-union should be considered. We thus sought to validate our diagnostic algorithm in patients with known osteoporotic vertebra fractures presenting persistent back pain and advert to the diagnosis and treatment of vertebral non-unions. Patients and Methods : Patients admitted with preexisting osteoporotic vertebra fractures and therapyresistant back pain were retrospectively analysed. All admitted patients were subject to standard plain radiographs in erect position and conventional CT or MR imaging of the spine, respectively. In addition, patients with suspected non-union were subject to lateral fulcrum radiographs in supine position. Results : From a total of 172 admitted patients, four patients presented with non-union of a fractured osteoporotic vertebra (2%). The subsequent surgical therapy included cement-augmented rod-and-screw stabilization, with or without additional correction of deformity, and kyphoplasty (N = 3) or kyphoplasty alone (N = 1). All surgical interventions were successful in pain reduction and allowed immediate and improved postoperative mobilisation. Conclusions : Non-union of osteoporotic vertebra fractures must be considered when symptoms outlast conservative treatment. In these cases, plain lateral fulcrum radiographs are a simple and effective adjunct to the conventional diagnostic methods. Surgical stabilization then proves to be the effective treatment of choice. Permalink : ./index.php?lvl=notice_display&id=34662 Exemplaires (1)
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