Patil Vishal, Reddy Ayapaneni Dileep, Kale Amit, Vadlamudi Abhinay, Kishore Janapamala V S, Jani Chiranjivi
Orthopaedics, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, IND.
Radiology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, IND.
Cureus. 2022 May 9;14(5):e24867. doi: 10.7759/cureus.24867. eCollection 2022 May.
Introduction It is critical to identify asymptomatic vertebral compression fractures (VCFs) as soon as possible in order to avoid subsequent fragility fractures. The purpose of the study was to see how many vertebral compression fractures there were in patients admitted to the COVID-19 pneumonia unit in a single tertiary care hospital who underwent chest computed tomography (CT) scans. Materials and methods Sagittal reconstruction of the thoracic spine was done in around 504 patients and classified into mild, moderate, and severe categories, and we compared it with the radiological reports of the same. Results In our study, the median age was 53 years (range: 31-91 years); 63% were men and 37% were women. Of the 504 patients, 76 (15%) had at least one vertebral compression fracture (VCF); 53 (10.2%) had one VCF, and 23 (4.8%) had multiple VCF, with 50 having mild fractures, 15 having moderate fractures, and 11 having severe fractures. Males (13.87%) and females (14.72%) had the same proportion of VCF (p = 0.83). Only 10% of the patients with VCFs we identified had a description in their report (eight patients). Conclusion The reporting of VCF is insufficient. VCF detection should be included in the search patterns of radiologists and physicians, regardless of the primary reason for performing chest CT. Although many patients are unable to come to the hospital during pandemic/epidemic, careful evaluation and inclusion of mild fractures in reports, as well as an explanation of the risk of subsequent fractures and treatment accordingly, would completely eliminate the risk of subsequent fractures.
引言 尽快识别无症状椎体压缩性骨折（VCF）对于避免随后的脆性骨折至关重要。本研究的目的是了解在一家三级护理医院的新冠肺炎病房住院并接受胸部计算机断层扫描（CT）的患者中椎体压缩性骨折的数量。材料与方法 对约504例患者的胸椎进行矢状面重建，并分为轻度、中度和重度类别，并将其与相同患者的放射学报告进行比较。结果 在我们的研究中，中位年龄为53岁（范围：31 - 91岁）；63%为男性，37%为女性。在504例患者中，76例（15%）至少有一处椎体压缩性骨折（VCF）；53例（10.2%）有一处VCF，23例（4.8%）有多处VCF，其中50例为轻度骨折，15例为中度骨折，11例为重度骨折。男性（13.87%）和女性（14.72%）的VCF比例相同（p = 0.83）。我们识别出的VCF患者中只有10%在其报告中有描述（8例患者）。结论 VCF的报告不足。无论进行胸部CT的主要原因是什么，VCF检测都应纳入放射科医生和医生的检查流程中。尽管在大流行/疫情期间许多患者无法前来医院，但仔细评估并在报告中纳入轻度骨折情况，以及解释随后骨折的风险并相应进行治疗，将完全消除随后骨折的风险。
