Clinical Results and Radiological Findings in Conservatively Treated Elderly Patients with Osteoporotic Vertebral Fractures Yuki MATAKI 1 , Yosuke TAKEUCHI 1 , Tetsuya ABE 2 , Shigeru HIOKI 1 , Shinsuke SAKAI 3 , Masataka SAKANE 2 , Masashi YAMAZAKI 2 1Department of Orthopaedic Surgery, Tsukuba Central Hospital 2Department of Orthopaedic Surgery, University of Tsukuba 3Department of Orthopaedic Surgery, Tokyo Medical Univercity Ibaraki Medical Center Keyword: 骨粗鬆症性椎体骨折(osteoporotic vertebral fracture) , 保存療法(conservative treatment) , ジュエット型硬性装具(Jewett orthosis) pp.929-934
Published Date 2014/10/25
DOI https://doi.org/10.11477/mf.1408200022
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 Background:We are using an inpatient treatment protocol for patients with osteoporotic vertebral fractures. After bed rest for two weeks, they are allowed out of bed wearing a Jewett orthosis.

 Methods:Between March 2012 and April 2013, this protocol was used to treat 50 osteoporotic vertebral fractures in 45 elderly patients over 65 years of age. We reviewed the relationship between surgery and nonunion and the CT, MRI, and plain X-ray imaging findings in all 45 cases.

 Outcome:Nonunion occurred in 6 vertebral bodies, and we treated 5 vertebral bodies surgically.

 Conclusion:Risk factors for surgery and nonunion were wall damage observed on CT scans, extensive low-signal lesions or limited high-signal lesions on MRI T2-weighted images, and vertebral instability 3 weeks after the start of treatment.

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