Osteoporotic Vertebral Fractures: SPECT findings / 대한핵의학회잡지
Korean Journal of Nuclear Medicine
;
: 522-527, 2004.
Artículo
en Coreano
| WPRIM
| ID: wpr-203795
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the usefulness of single photon emission computed tomography (SPECT) of bone using Tc-99m MDP in the diagnosis of osteoporotic vertebral fractures. MATERIALS ANDMETHODS:
Thirty two patients with osteoporotic vertebral fracture were included in this study (mean age 67 +/- 8, male 5, female 27). Seventy nine vertebral fractures were detected (38 thoracic/thoracolumbar lesions and 41 lumbar lesions), which were classified by type of deformity (wedge, biconcave or compression). The patterns and locations of increased uptakes were examined and analyzed.RESULTS:
Forty seven wedge fractures, 20 biconcave fractures and 12 compression fractures were found. Diffuse and asymmetric uptakes were common in fractured bodies. More than one uptake were examined in 69 posterior elements of fractured vertebrae (87.3%) including 40 of 47 wedge fractures (85.1%), 17 of 20 biconcave fractures (85.0%) and 12 of 12 compression fractures (100%). Wedge fractures were predominant fracture in thoracic/thoracolumbar spine whereas incidence of biconcave or compression type was similar to that of wedge fracture in lumbar spine (p=0.04). Spinous process uptake was more frequently seen in lumbar lesions than thoracic/thoracolumbar lesions (p=0.009). Facet joint uptake in biconcave fracture was more common in lumbar spine (92.3%) than thoracic/thoracolumbar spine (57.1%). Spinous process uptake in biconcave fracture was also more frequently detected in lumbar spine (p=0.043).CONCLUSION:
Bone SPECT was useful in the evaluation of osteoporotic vertebral fracture, especially posterior elements of vertebrae.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Osteoporosis
/
Columna Vertebral
/
Anomalías Congénitas
/
Tomografía Computarizada de Emisión de Fotón Único
/
Medronato de Tecnecio Tc 99m
/
Incidencia
/
Articulación Cigapofisaria
/
Diagnóstico
/
Fracturas por Compresión
Tipo de estudio:
Estudio diagnóstico
/
Estudio de incidencia
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Nuclear Medicine
Año:
2004
Tipo del documento:
Artículo
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