AB1022 PLACE OF BONE MINERAL DENSITY MEASUREMENT IN THE DIAGNOSIS OF ASYMPTOMATIC VERTEBRAL FRACTURES
| Autor: | M. Brahem, O. Jomaa, R. Sarraj, S. Abdellatif, R. Ben Tekaya, H. Hachfi, Y. Mohamed |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Annals of the Rheumatic Diseases. 81:1634.2-1635 |
| ISSN: | 1468-2060 0003-4967 |
| DOI: | 10.1136/annrheumdis-2022-eular.2972 |
| Popis: | BackgroundVertebral fracture (VF) is the most common fragility fracture. The majority of them are asymptomatic and only third of VFs are clinically recognized. Screening of osteoporosis may increase early detection of these fractures.Objectivesto emphasize on the routine practice the lateral and frontal X-rays of dorso-lumbar spine each time that the diagnosis of osteoporosis has been made.MethodsThis is a cross-sectional study which includes patients followed for a well-defined rheumatological disease in the rheumatology department at TAHER SFAR University Hospital, Mahdia, Tunisia. All patients had a bone mineral density (BMD) measurement whenever there is an indication according to the HAS 2006 recommendation with a systematic radiography of the dorso-lumbar spine (face and profile incidences).ResultsThirty seven female patients were enrolled, with a mean age of 59.8 ± 9.9 years. The average body mass index was 30.85 ± 5.7kg/m2 and 83.7% of them were overweight (BMI>25kg/m2). 86.5% of patients had a history of back pain and 16.2% of them had a family history of fracture of the femoral upper extremity. The reasons for performing BMD were dominated by corticosteroid therapy ≥7.5mg/d for more than 3 months and a history of vertebral fracture in 37.8% of cases each and treatment with anti-aromatases in 16.2% of cases .18 patients had a Spinal T-score ≥-2.5 DS. 12 patients had a spinal Tscore between -2.5 DS and -1 DS. 6 patients had a femoral Tscore ≥-2.5 DS and 12 had a femoral Tscore between -2.5 DS and -1DS. 19/37 patients (51.4% of cases) had osteoporosis. 9/19 (47.3%) had a vertebral fracture among which 12% were previously unknown and in women who were fully symptom-free. The vertebral fractures were mainly located at the dorsal-lumbar region: the L1 and T11 vertebrae were fractured in 3 patients and the T12 vertebrae in 3 patients.ConclusionOur study showed that nearly half of patients with BMD-objectified osteoporosis had a VF detected on standard X-rays, most of which were previously unknown. It is plausible to speculate the place of this method combining BMD with spinal X-rays in the diagnosis of asymptomatic VFs.References[1]doi: 10.18773/austprescr.2016.020Disclosure of InterestsNone declared |
| Databáze: | OpenAIRE |
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