Osteoporosis is a disease in which increased bone weakness increases the risk of occurrence of bone fracture. It is the most common reason for a bone fracture amongst the elderly people. Bones that commonly break are the vertebrae , the forearm bones, and the hip. Until a fracture occurs there are no symptoms. Bones may weaken to such a degree that a break may occur with minor stress or spontaneously. Chronic pain and a decreased ability to perform normal activities may occur following a broken bone (Golob et al.,2015).
Vertebral fractures are the most common osteoporotic fractures and they are associated with a less quality of life and higher long term mortality in patients (Moroni et al.,2009). The occurrence of one vertebral fracture…show more content… Symptoms and secondary deformities can reduce the heath-related quality of life, and increase the risk of mortality. Vertebral fractures can be treated conservatively or surgically by vertebroplasty or kyphoplasty. In this study, we aim to manage the osteoporotic vertebral fractures, focusing on the most used lines of treatment and the best outcome.
Research question
What is radiological and clinical outcome of management of osteoporotic vertebral fracture patients?
Hypothesis
Successful treatment of patients with osteoporotic vertebral fractures is heavily dependent on the surgeon appreciation of the clinical and radiological findings of fractured vertebrae and patient condition, to reach the best management for osteoporotic vertebral fractures.
Aim of the work
To detect the best tool of the management of osteoporotic vertebral fracture.
Objectives
1. To detect the best tool of management of osteoporotic vertebral fractures.
2. To assess the clinical outcome of management of osteoporotic vertebral fracture
3. To evaluate the radiological outcome of management of osteoporotic vertebral…show more content… • Sample size: the sample was calculated to be 16 case 8 cases in surgical management group and 8 cases in conservative group. As the mean difference in VAS score was 404 1.6 vs 2.6 0.6 postoperative by using openEpi and at confedince level 25% and power of test 80%.
• Subjects included in selection: Osteoporotic Patients with vertebral fracture.
Inclusion criteria:
1. Age ≥ 18 years old.
2. Patients fulfill the criteria for osteoporosis in at least one segment of dorsal and lumbar spine (by DEXA scan).
3. Patients with osteoporotic vertebral fracture.
Exclusion criteria:
1. Age < 18 years old.
2. Vertebral fractures due to any etiology other than osteoporosis.
(2) Operational design:
(1) Type of study: prospective study.
(2) Steps of performance : All patients will be subjected to the followings:
• Full medical history for evaluating:
1. Age.
2. Gender.
3. Co-morbidities.
4. BMI.
5. History of trauma.
6. Drug intake.
7. Smoking.
