Cho Minjoon, Moon Seoung-Hwan, Lee Ji-Ho, Lee Jae Hyup
Department of Orthopedic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea.
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Asian Spine J. 2019 May 14;13(5):779-785. doi: 10.31616/asj.2018.0322. Print 2019 Oct.
A nationwide, observational, and cross-sectional study targeting postmenopausal patients from 62 orthopedic outpatient clinics in Korea between October 2010 and February 2011.
This study was carried out to investigate comorbidity, trauma history, and the status of osteoporotic fracture treatment in Korean postmenopausal women.
There has been little reports on the comorbidity, family history, trauma history, and treatment status of osteoporotic fractures in patients visiting the orthopedic outpatient clinics in Korea.
A total of 1,255 postmenopausal women between the ages of 50 and 80 years were enrolled in the study and the population distribution was reflected by region. Comorbidity, familial history of osteoporosis, familial history of osteoporotic fracture, history of falls, and status of osteoporotic fracture management were evaluated using an interview and questionnaire. The relationship between family history of osteoporosis and bone mineral density was analyzed.
A number of patients (23%) had a family history of osteoporosis and 16.5% had a family history of fractures. Most (64.7%) of the patients had one or more comorbidities, including 58.8% exhibiting a chronic disease and 16.4% suffering from diseases that restrict exercise or walking. The results of the questionnaire indicated that 21.8% of these fracture patients had experienced a fracture previously and that the most common type of fracture was that of the spine. Lumbar spine bone mineral density was found to be lower in the presence of family history of osteoporosis.
Postmenopausal women are liable to have osteoporotic fractures due to the high prevalence of osteoporosis, a history of falling, and the comorbidity with diseases that restrict ambulation. A better understanding of postmenopausal women in the orthopedic outpatient settings is important to the management of osteoporotic fractures.
一项全国性的观察性横断面研究，针对2010年10月至2011年2月期间韩国62家骨科门诊的绝经后患者。
本研究旨在调查韩国绝经后女性的合并症、创伤史以及骨质疏松性骨折的治疗状况。
关于韩国骨科门诊患者骨质疏松性骨折的合并症、家族史、创伤史及治疗状况的报道较少。
共纳入1255名年龄在50至80岁之间的绝经后女性，研究人群分布反映了地区情况。通过访谈和问卷评估合并症、骨质疏松家族史、骨质疏松性骨折家族史、跌倒史以及骨质疏松性骨折管理状况。分析骨质疏松家族史与骨密度之间的关系。
许多患者（23%）有骨质疏松家族史，16.5%有骨折家族史。大多数患者（64.7%）有一种或多种合并症，其中58.8%患有慢性病，16.4%患有限制运动或行走的疾病。问卷调查结果显示，这些骨折患者中有21.8%曾有过骨折，最常见的骨折类型是脊柱骨折。发现有骨质疏松家族史的患者腰椎骨密度较低。
绝经后女性因骨质疏松患病率高、有跌倒史以及与限制行走的疾病合并存在，易发生骨质疏松性骨折。在骨科门诊环境中更好地了解绝经后女性对于骨质疏松性骨折的管理很重要。
