Prevalence and Characteristics of Spinal Sagittal Malalignment in Patients with Osteoporosis.

health-related quality of life low back pain osteoporosis spinal sagittal alignment

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
26 Jun 2021
Historique:
received: 27 04 2021
revised: 15 06 2021
accepted: 24 06 2021
entrez: 2 7 2021
pubmed: 3 7 2021
medline: 3 7 2021
Statut: epublish

Résumé

Spinal sagittal malalignment due to vertebral fractures (VFs) induces low back pain (LBP) in patients with osteoporosis. This study aimed to elucidate spinal sagittal malalignment prevalence based on VF number and patient characteristics in individuals with osteoporosis and spinal sagittal malalignment. Spinal sagittal alignment, and VF number were measured in 259 patients with osteoporosis. Spinal sagittal malalignment was defined according to the SRS-Schwab classification of adult spinal deformity. Spinal sagittal malalignment prevalence was evaluated based on VF number. In patients without VFs, bone mineral density, bone turnover markers, LBP scores and health-related quality of life (HRQoL) scores of normal and sagittal malalignment groups were compared. In 205 of the 259 (79.2%) patients, spinal sagittal malalignment was detected. Sagittal malalignment prevalence in patients with 0, 1, or ≥2 VFs was 72.1%, 86.0%, and 86.3%, respectively. All LBP scores and some subscale of HRQoL scores in patients without VFs were significantly worse for the sagittal malalignment group than the normal alignment group (

Identifiants

pubmed: 34206898
pii: jcm10132827
doi: 10.3390/jcm10132827
pmc: PMC8268752
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Japanese Orthopaedic Association
ID : 2018-2

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Auteurs

Takayuki Matsunaga (T)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Masayuki Miyagi (M)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Toshiyuki Nakazawa (T)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Kosuke Murata (K)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Ayumu Kawakubo (A)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Hisako Fujimaki (H)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Tomohisa Koyama (T)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Akiyoshi Kuroda (A)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Yuji Yokozeki (Y)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Yusuke Mimura (Y)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Eiki Shirasawa (E)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Wataru Saito (W)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Takayuki Imura (T)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Kentaro Uchida (K)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Yuta Nanri (Y)

Department of Rehabilitation, Kitasato University Hospital, Sagamihara 252-0374, Japan.

Kazuhide Inage (K)

Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.

Tsutomu Akazawa (T)

Department of Orthopaedic Surgery, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan.

Seiji Ohtori (S)

Department of Orthopaedic Surgery, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan.

Masashi Takaso (M)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Gen Inoue (G)

Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kanagawa 252-0374, Japan.

Classifications MeSH