DOES THE USE OF BRACE TREATMENT HAVE AN EFFECT ON BONE MINERAL DENSITY IN ADOLESCENT IDIOPATHIC SCOLIOSIS (AIS) PATIENTS?
Journal Title: Journal of Turkish Spinal Surgery - Year 2014, Vol 25, Issue 1
Abstract
Purpose: The objective of this study is to investigate the relationship between Cobb angle and bone density, as well as the effect of brace treatment, on bone mineral density (BMD) in adolescent idiopathic scoliosis (AIS) patients. Method: Bone density in the lumbar spines of AIS patients was measured using the DEXA method. Patients aged from 8 to 18 with a Cobb angle of >10° were included in the study. The relationships between the Cobb angle and age, gender, height and weight, BMI, BMD, and Z-score were determined. Patients who had used a brace and those who had not were evaluated. Results: Significant correlations were observed when the BMD values of the entire lumbar region were compared to BMI, age, and weight. There was no correlation between the Cobb angle degrees and these parameters. When the Z-scores were compared with the Cobb angles, no correlation was observed in the values obtained from the spinal axis except for those obtained from the proximal thoracic and lumbar/thoracolumbar regions. There was no significant difference between the two genders. A meaningful difference was found in terms of age and BMD between the group of 15 patients that had used a brace and the group who did not, but no meaningful differences related to BMI, height, weight, Z-score, or Cobb angle were obtained. Conclusion: No apparent relationship was detected between BMD and Cobb angle. Bracing reduced bone density significantly in AIS patients. We are of the opinion that more comprehensive studies are needed on the bone mineral metabolisms of patients with AIS.
Authors and Affiliations
Mehmet Bülent BALİOĞLU, Akif ALBAYRAK, Yunus ATICI, Deniz KARGIN, M. Temel TACAL, M. Akif KAYGUSUZ, Can Hakan YILDIRIM, Şeyho Cem YÜCETAŞ, Aytaç AKBAŞAK
Keywords
Related Articles
- EP ID EP676785
- DOI -
- Views 135
- Downloads 0
ON THE FRACTURES AND DISLOCATIONS OF THE SPINE IN RHAZES’ KITĀB AL-ḤĀWĪ / LIBER CONTINENS
Abū Bakr Muḥammad b. Zakariyyā al-Rāzī was one of the most scientific figures during the era called Golden Age of civilization and medicine in Islamic world. He was a scientist who made important contributions to both Ea...
THE RESULTS OF THE MARFAN SYNDROME PATIENT WITH SEVERE SCOLIOSIS TREATED WITH ANTERIOR RELEASE AND POSTERIOR INSTRUMENTATION AND FUSIONIN THE SAME SESSION
Marfan syndrome is a connective tissue di-sorder that have associated musculosceletal de-formities. Scoliosis, which is one of the most fre-quent spinal deformities, is important because of its rigidity, curve progressio...
ANATOMY OF THE UPPER SACRAL AND THE SECOND SACRAL NERVE ROOT TUNNELS: A MORPHOLOGIC STUDY
Sacral anatomy is unique when compared to the other vertebral columns. The posterior structure of the sacrum is similar to the upper part of the spinal column but the fusion between these segments. On the other hand,...
CONGENITAL SCOLIOSIS: THE ROLE OF ANTERIOR AND POSTERIOR FUSION
CONGENITAL SCOLIOSIS: THE ROLE OF ANTERIOR AND POSTERIOR FUSION
HIGH THORACIC CONGENITAL KYPHOSIS ASSOCIATED WITH A HIGH MEDIASTINAL NEUROENTERIC CYST (A Case Report)
A case of high thoracic kyphosis, that was found to be associated with a neuroenîeric cyst located at the poste-rior mediastinum is presented. Total excision of the cystic fesion immediaiely antericr îo the verlebral...