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KLINIKO-RENTGENOLOGIChESKIE OSOBENNOSTIPOSTMENOPAUZAL'NOGO OSTEOPOROZA NA FONE DEGENERATIVNO-DISTROFIChESKIKh IZMENENIY POZVONOChNIKA

Abstract


The purpose of the work is studying clinico-radiological
features of a combination of postmenopausal osteoporosis
and degenerate-dystrophic changes at the spine (vertebral
column).
Material and methods. It were examined 66 women with
postmenopausal osteoporosis and a dorsodynia syndrome. It
were estimated expression of a dorsodynia on a visually-analogue
scale (VAS), motor performance (function) level, quality of a
life (Qualeffo-41). There was spent X-ray examination of a spine
with an estimation of degenerate-dystrophic changes in points.
Results and conclusions. All patients had degenerate-dystrophic
changes of a backbone with various degree of expression.
Patients with considerable displays of an osteoporosis at
radiological research and overestimate of bone mineral density
were prevailed . The authentic negative interrelation (r =-0,59
is taped; р <0,05) femoral BMD with degree of a spondylosis
and direct correlation between BMD a spine and a expression
of spondylosis (r=0,48, p <0,05). It demands correct approaches
to diagnostics osteoporosis against a spondylosis. Clinical
implications at patients with postmenopausal osteoporosis
and a dorsodynia are interconnected with degenerate changes
of a spine of primary and secondary character, instead of with
changes BMD.

M N Kirpikova

S A Cvinina

N N Belosel'skiy

O A Nazarova

M K Stakovetskiy

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Copyright (c) 2010 Kirpikova M.N., Cvinina S.A., Belosel'skiy N.N., Nazarova O.A., Stakovetskiy M.K.

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