NGHIÊN CỨU ĐẶC ĐIỂM GÃY XƯƠNG ĐỐT SỐNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN LOÃNG XƯƠNG Ở NGƯỜI TRÊN 50 TUỔI TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2021-2023

Abstract

Background: Vertebral fractures in osteoporosis patients are not an acute disease, but their consequences significantly reduce the patient's quality of life. Objectives: Determine the rate and describe the characteristics of vertebral fractures related to osteoporosis and some related factors in patients over 50 years old. Materials and Methods: 74 osteoporosis patients with no history of previous spinal injury over 50 years old hospitalized at General internal medicine department in Can Tho University of Medicine and Pharmacy in 2021-2023. Research design: cross-sectional descriptive study. Results: in 74 osteoporosis cases studied, 66,2% of fractures were related to osteoporosis, the proportion of women was higher than that of men, mainly in the age group of 60-80 years old. The average age in the study was 72,18 ± 9,55 years old. Fractures in the thoracic spine and lumbar spine account for 55%. The most common fracture location is at L1, 33,8%, with subsidence fractures accounting for the majority, 42,9%. Fractures grade 1 40,7%, grade 2 36,7% and grade 3 22,6%. Factors associated with vertebral fractures are history of fractures (p<0,001), history of falls (p<0,001), corticosteroid use (p=0,001), bone density (p<0,001), age menopause in women (p=0,011). Conclusions: Vertebral fractures related to osteoporosis account for a high rate of 66,2% in osteoporosis patients. In most patients with T11-L1 vertebral fractures, subsidence and concavity fractures predominate and most are grade 1 fractures. Osteoporosis patients have many risk factors leading to fractures such as advanced age and low bone density, early menopause, using corticosteroid, history of falls, history of bone fractures,...