TỶ LỆ GÃY XƯƠNG ĐỐT SỐNG VÀ ĐẶC ĐIỂM HÌNH ẢNH X-QUANG CỘT SỐNG Ở PHỤ NỮ MÃN KINH MẮC ĐÁI THÁO ĐƯỜNG TÍP 2

Abstract

Background: Vertebral fractures are common but often under-recognized. Many cases are only identified incidentally through radiographic screening, such as spinal X-rays, in patients without symptoms or clinical complaints. Despite being asymptomatic, these individuals remain at risk for serious complications and disability if the fractures progress without timely intervention. This study aims to contribute essential insights into this underexplored yet clinically important issue. Objectives: The study had two primary aims: (1) to determine the prevalence of vertebral fractures in postmenopausal women with type 2 diabetes mellitus, and (2) to describe the radiographic characteristics of these fractures in the target population. Methods: A cross-sectional study was conducted among postmenopausal women diagnosed with type 2 diabetes mellitus who were receiving treatment at the Endocrinology and Rheumatology Departments of Nguyen Tri Phuong Hospital between March and July 2024. Thoracolumbar spine X-rays, including anteroposterior and lateral views, were used to identify vertebral fractures. Results: Data were collected from 129 postmenopausal women with type 2 diabetes mellitus. The prevalence of vertebral fractures was 22.67 percent. Most cases involved a single fracture, primarily of moderate to severe grade, and were predominantly located at the thoracolumbar junction (T12–L1). Wedge-shaped fractures were the most common morphological type observed. Conclusions: Given the relatively high prevalence of vertebral fractures in postmenopausal women with type 2 diabetes mellitus, routine screening for such fractures should be considered in this population.