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
ANXIETY, DEPRESSION AND SOMATIZATION IN THE HERNIATIONS OF LUMBAR DISCS
Objective: Background: Recent studies have been reported a strong link between psychological problems such as depression, stres, anxiety and somatization the lower back pain arising from them. We aimed to investigate...
RETROSPECTIVE ANALYSIS OF THE TREATMENT OF TUBERCULOSIS SPONDYLITIS IN GROWING SPINE
Objectives: The aim of this study to evaluate the results of the tuberculosis at growing spine Material and Method: Eighteen children under 12 years old were evaluated retrospectively in our study. The mean age at...
THE EARLY RESULTS OF THE AO SPINAL INTERNAL FIXATOR İN THE SURGICAL TREATMENT OF THORACOLUMBAR BURST FRACTURES
The poterıtial for clinical instability following thoracolumbar fractures has evoked a progressive increase in in-terest in the surgical treatment of unstable thoracolumbar fractures From September 1990 to October 199...
SPECIAL DESIGNED ROUTING DEVICE TO EASE ENDOSCOPİC TRANSFORAMINAL LUMBAR DISC SURGERY: A CADAVERIC STUDY
Background Data: Fully endoscopic lumbar disc (FELD) surgery via transforaminal (TF) approach may be more demanding to adopt for surgeons experienced with conventional microdiscectomy, due to the necessity of a new an...
PERCUTANEOUS TRANSPEDICULAR BIOPSY FOR VERTEBRAL LESIONS
Percutaneous transpedicular biopsy technigue was performed for five cases of vertebral pathology. Under C-arm fluoroscopic corıtrol, the Kambin instruments were used for the pdocedure. İn the operation room, the patie...