Sadat-Ali Mir, Gullenpet Abid Hussain, Al-Turki Haifa A, Abdulrahman Tamar W, Al-Elq Abdulmohsen H, Azzam Mohammed Quamar, Al-Shammary Hadia, Al-Omran Abdallah S, Al-Othman Abdallah A
Osteoporosis Research Group, College of Medicine, University of Dammam, Saudi Arabia.
Asian Spine J. 2011 Jun;5(2):107-10. doi: 10.4184/asj.2011.5.2.107. Epub 2011 May 2.
Retrospective study.
To assess the prevalence of osteoporosis related spinal fractures among Saudi Arabian males.
Vertebral fractures are the most common complication of osteoporosis and is the first sign in both sexes and only 25 to 30% of radiographically observed vertebral deformities are recognized.
We analyzed the chest radiographs of consecutive Saudi Arabian men ≥ 50 years and who visited the emergency room of King Fahd University Hospital, Al Khobar, Saudi Arabia for a period of 12 months between November 1, 2007 and October 31, 2008. The site and type of fractures were classified as per the semi-quantitative technique. The other data retrieved from the medical records of patients included medications and clinical investigations for osteoporosis.
Nine hundred seventy chest radiographs were performed during the study period and 876 radiographs could be analyzed. One hundred fifteen patients (13.1%) had 157 fractures. The mean age was 67.85 ± 10.1 years. There was more than one fracture in 21 patients (18.2%). The majority of fractures (n = 102, 64.9%) were observed in thoracic spine. Seventy-one (45.2%) fractures were classified as mild, 54 (34.4%) were moderate and 32 (20.4%) were severe. For 26 (22.6%) patients, the report of the radiologist highlighted the fracture.
Saudi Arabian males with osteoporosis continue to be missed despite the high prevalence osteoporosis leading to vertebral fractures. We believe it is important for physicians to identify vertebral fractures early and treat then appropriately before an extremity fracture occurs with high mortality.
回顾性研究。
评估沙特阿拉伯男性中骨质疏松相关脊柱骨折的患病率。
椎体骨折是骨质疏松最常见的并发症，是两性的首发症状，而在X线片观察到的椎体畸形中只有25%至30%被识别出来。
我们分析了2007年11月1日至2008年10月31日期间连续12个月到沙特阿拉伯胡拜尔法赫德国王大学医院急诊室就诊的年龄≥50岁的沙特阿拉伯男性的胸部X线片。根据半定量技术对骨折部位和类型进行分类。从患者病历中获取的其他数据包括骨质疏松的用药情况和临床检查。
研究期间共进行了970次胸部X线检查，其中876次X线片可供分析。115名患者（13.1%）有157处骨折。平均年龄为67.85±10.1岁。21名患者（18.2%）有一处以上骨折。大多数骨折（n = 102，64.9%）发生在胸椎。71处（45.2%）骨折被分类为轻度，54处（34.4%）为中度，32处（20.4%）为重度。26名（22.6%）患者的骨折在放射科医生的报告中被重点提及。
尽管骨质疏松导致椎体骨折的患病率很高，但沙特阿拉伯患有骨质疏松症的男性仍未得到诊断。我们认为，医生尽早识别椎体骨折并在发生高死亡率的肢体骨折之前进行适当治疗非常重要。
