[1]蒋雪生,李建有,张文均,等.骨质疏松性骨折风险与脊柱活动能力的相关性研究[J].中医正骨,2013,25(09):16-18.
　Jiang Xuesheng*,Li Jianyou,Zhang Wenjun,et al.A correlation analysis of the relationship between risk of osteoporotic fracture and spinal mobility[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(09):16-18.
点击复制

骨质疏松性骨折风险与脊柱活动能力的相关性研究()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年09期
页码:
16-18
栏目:
临床研究
出版日期:
2013-09-30

文章信息/Info

Title:
A correlation analysis of the relationship between risk of osteoporotic fracture and spinal mobility
作者:
蒋雪生1; 李建有1; 张文均2; 王华军3; 陈庭瑞4; 蓝文锐 4; 李义凯4; 陈超4
1.浙江省湖州市中心医院,浙江 湖州 313000;
2.深圳平乐骨伤科医院,广东 深圳 518010;
3.河北省石家庄市骨科医院,河北 石家庄 050011;
4.南方医科大学,广东 广州 510515
Author(s):
Jiang Xuesheng*; Li Jianyou; Zhang Wenjun; Wang Huajun; Chen Tingrui; Lan Wenrui; Li Yikai; Chen Chao.*
Huzhou Central Hospital,Huzhou 313000,Zhejiang,China
关键词:
骨质疏松 骨折 脊柱 相关分析 危险性评估
Keywords:
Osteoporosis;  Fractures; bone;  Spine;  Correlation analysis;  Risk assessment
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。
Abstract:
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(upright-flexional thoracic curvature changes),the lumbar curvature changes from upright position to anterior flexion position(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-bearing position(weight-bearing 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°),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:The risk of osteoporotic fracture were related to the activity ability of thoracic vertebra and the ability of spine to keep its normal shape.

参考文献/References:

[1] 王加谋,陈超,李前龙,等.退变椎间盘在骨质疏松椎体应力分布中作用的有限元方法研究[J].中国中医骨伤科杂志,2007,15 (7):41-44.
[2] Kasukawa Y,Miyakoshi N,Hongo M,et al.Relationships between falls,spinal curvature,spinal mobility and back extensor strength in elderly People[J].J Bone Miner Metab,2010,28(1):82-87.
[3] Fazzalari NL,Manthey B,Parkinson IH.Intervertebral disc disorganisation and its relationship to age adjusted vertebral body morphometry and vertebral bone architecture[J].Anat Rec,2001,262(3):331-339.
[4] Moore RJ,Vernon-Roberts B,Osti OL,et al.Remodeling of vertebral bone after outer anular injury in sheep [J].Spine,1996,21(8):936-940.
[5] Backstrom KM,Whitman JM,Flynn TW.Lumbar spinal stenosis-diagnosis and management of the aging spine[J].Man Ther,2011,16(4):308-317.
[6] 赵红燕,刘建民.骨折风险评估工具FRAX的临床应用[J].诊断学理论与实践,2012,11(1):21-24.
[7] McGill SM,Grenier S,Kavcic N,et al.Coordination of muscle activity to assure stability of the lumbar spine [J].J Electromyogr Kinesiol,2003,13(4):353-359.
[8] Moreside JM,Vera-Garcia FJ,McGill SM.Trunk muscle activation patterns,lumbar compressive forces,and spine stability when using the bodyblade[J].Phys Ther,2007,87(2):153-163.
[9] Behm DG,Anderson KG.The role of instability with resistance training[J].J Strength Cond Res,2006,20(3):716 -722.
[10] Lips P.Suboptimal vitamin D status:a risk factor for osteoporosis?[J].Adv Nutr Res,1994,9:151-166.
[11] Fujiwara S.Clinical sign-height loss and vertebral deformity[J].Nihon Rinsho,2006,64(9):1610-1614.
[12] Gallacher SJ,Gallagher AP,McQuillian C,et al.The prevalence of vertebral fracture amongst patients presenting with non-vertebral fractures[J].Osteoporos Int,2007,18(2):185-192.
[13] Kerkeni S,Kolta S,Fechtenbaum J,et al.Spinal deformity index(SDI)is a good predictor of incident vertebral fractures[J].Osteoporos Int,2009,20(9):1547-1552.
[14] Mika A,Unnithan VB,Mika P.Differences in thoracic kyphosis and in back muscle strength in women with bone loss due to osteoporosis[J].Spine,2005,30(2):241-246.
[15] Miyakoshi N,Hongo M,Maekawa S,et al.Factors related to spinal mobility in patients with postmenopausal osteoporosis[J].Osteoporos Int,2005,16(12):1871-1874.

备注/Memo

备注/Memo:
2012-08-10收稿 2013-01-18修回
基金项目: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)
通讯作者:陈超 E-mail:chenchao@smu.edu.cn
更新日期/Last Update: 2013-09-30