初期の体幹ギプス固定は骨粗鬆症性脊椎圧迫骨折の椎体圧潰の進行予防に有用か？―コルセット治療との比較

Are Body Casts Effective in Preventing the Progression of Vertebral Collapse?

　目的：本研究は，脊椎圧迫の初期治療において，ギプス固定はコルセット固定と比較して，椎体圧潰を予防することができるかをretrospectiveに検討することを目的とする．

　対象：65歳以上の胸腰椎移行部圧迫骨折の患者52名を対象とした．治療は，ギプス固定群36例とコルセット固定群16例に分け，圧潰率を測定し，経時的椎体圧潰進行度を比較した．

　結果：両群において，椎体圧潰進行度は有意差を認めなかった．

　結論：ギプス固定は，コルセット固定と比較して有用とは言えなかった．

　Purpose：In this study we investigated whether body-cast treatment is of greater benefit than brace treatment in preventing the progression of vertebral collapse in patients with osteoporotic compression fractures.

　Methods：The subjects were 52 patients aged ＞65 years old who had an osteoporotic thoracolumbar compression fracture.　We treated 36 patients with a bodycast and 16 patients with either a hard brace or a soft brace and then evaluated the vertebral body collapse rate at one month and at three months.

　Outcome：There was no significant defference between body-cast group and brace group.

　Conclusion：Body-cast treatment does not provide any advantage over brace treatment as a means of preventing progression of vertebral collapse in elderly patients with osteoporotic compression fractures.