scholarly journals EARLY ORTHOTICS IN COMPLEX TREATMENT OF CHILDREN WITH VERTEBRAL COMPRESSION FRACTURES OF THE THORACIC AND LUMBAR SPINE

2016 ◽  
Vol 13 (4) ◽  
pp. 11-20
Author(s):  
Sergei Vissarionov ◽  
◽  
Alexey Baindurashvili ◽  
Ivan Pavlov ◽  
Dmitrii Kokushin ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Vertebral Compression Fractures ◽  
Complex Treatment ◽  
Compression Fractures ◽  
Thoracic And Lumbar Spine

scholarly journals Conservative treatment of children with vertebral compression fractures of the thoracic and lumbar spine in the Russian Federation: a literature review

2016 ◽  
Vol 4 (1) ◽  
pp. 48-56 ◽  
Author(s):  
Alexei G Baindurashvili ◽  
Sergei V Vissarionov ◽  
Ivan V Pavlov ◽  
Dmitriy N Kokushin ◽  
Grigoriy A Lein
Keyword(s):  
Lumbar Spine ◽  
Selection Criteria ◽  
Vertebral Compression Fractures ◽  
Orthotic Devices ◽  
Literature Analysis ◽  
Spinal Segment ◽  
Compression Fractures ◽  
Thoracic And Lumbar Spine ◽  
Vertebral Bodies ◽  
The Russian Federation

Various options for medical treatment of children with compression fractures of the thoracic and lumbar spine include unloading of damaged segments by simultaneous or gradual reclination (e.g., functional traction and reclination of the spine); measures aimed at building and strengthening the muscular “corset” of the back; and the use of orthotic devices of various designs (e.g., fixating-discharging, fixating-correcting corsets, orthoses on a modular basis). Questions regarding the early and late use of orthotics in patients with compression fractures of the vertebral bodies are discussed. Literature analysis, considering different methods used in the treatment of these patients in terms of their effectiveness to restore the height and shape of the damaged spinal segment revealed the absence of a differentiated approach for choosing treatment and selection criteria for orthopedic management.

Bone density and bone health alteration in boys with Duchenne Muscular Dystrophy: a prospective observational study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Renu Suthar ◽  
B. V. Chaithanya Reddy ◽  
Manisha Malviya ◽  
Titiksha Sirari ◽  
Savita Verma Attri ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Bone Health ◽  
Prospective Observational Study ◽  
Bone Fractures ◽  
Long Bone ◽  
Vertebral Compression Fractures ◽  
Serum Osteocalcin ◽  
Z Score ◽  
X Ray ◽  
Compression Fractures

Abstract Objectives Boys with Duchenne Muscular Dystrophy (DMD) are at increased risk for compromised bone health, manifesting as low-impact trauma long bone fractures and vertebral compression fractures. Methods In a prospective observational study, we studied bone health parameters in North Indian boys with DMD. We consecutively enrolled ambulatory boys with DMD on glucocorticoid therapy. Bone health was evaluated with X-ray spine, Dual-energy X-ray absorptiometry (DXA), serum calcium, vitamin D3 (25[OH]D), 1,25-dihyroxyvitamin D3 (1,25[OH]2D3), serum osteocalcin, osteopontin, and N terminal telopeptide of type 1 collagen (Ntx) levels. Results A total of 76 boys with DMD were enrolled. The median age was 8.5 (interquartile range [IQR] 7.04–10.77) years. Among these, seven (9.2%) boys had long bone fractures, and four (5.3%) had vertebral compression fractures. Fifty-four (71%) boys underwent DXA scan, and among these 31 (57%) had low bone mineral density (BMD, ≤−2 z-score) at the lumbar spine. The mean BMD z-score at the lumbar spine was −2.3 (95% confidence interval [CI] = −1.8, −2.8), and at the femoral neck was −2.5 (95% CI = −2, −2.9). 25(OH)D levels were deficient in 68 (89.5%, n=76) boys, and 1,25(OH)2D3 levels were deficient in all. Mean serum osteocalcin levels were 0.68 ± 0.38 ng/mL (n=54), serum osteopontin levels were 8.6 ± 4.6 pg/mL (n=54) and serum Ntx levels were 891 ± 476 nmol/L (n=54). Boys with low BMD received glucocorticoids for longer duration, in comparison to those with normal BMD (median, IQR [16.9 (6–34) months vs. 7.8 (4.8–13.4) months]; p=0.04). Conclusions Bone health is compromised in North Indian boys with DMD. BMD at the lumbar spine is reduced in more than half of boys with DMD and nearly all had vitamin D deficiency on regular vitamin D supplements. Longer duration of glucocorticoid therapy is a risk factor for low BMD in our cohort.

Compression fractures of the thoracic and lumbar spine in children

1985 ◽  
Vol 66 (6) ◽  
pp. 407-410
Author(s):  
A. A. Rumyantseva ◽  
F. X. Bashirova
Keyword(s):  
Lumbar Spine ◽  
Spinal Fractures ◽  
Physiological Characteristics ◽  
Compression Fractures ◽  
Age Related ◽  
Thoracic And Lumbar Spine ◽  
Fractures In Childhood

The age-related evolution of the spine in combination with the physiological characteristics of a growing organism determines the specificity of the clinical and radiological picture and the treatment of uncomplicated spinal fractures in childhood.

scholarly journals POSTERIOR FIXATION OF THE THORACIC AND LUMBAR SPINE COMPRESSION FRACTURES

2008 ◽  
pp. 8-13
Author(s):  
Igor Ratkin ◽  
◽  
Yury Batrak ◽  
Andrey Svetashov ◽  
Andrey Komkov ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Posterior Fixation ◽  
Compression Fractures ◽  
Thoracic And Lumbar Spine

Peculiarities of Treatment of Patients with Complicated Compression Fractures of Thoracic and Lumbar Spine Vertebral Bodies on the Background of Osteoporosis

2009 ◽  
Vol 16 (2) ◽  
pp. 34-39
Author(s):  
S T Vetrile ◽  
Aleksandr Alekseevich Kuleshov ◽  
L Yu Darchiya ◽  
S T Vetrile ◽  
A A Kuleshov ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Term Treatment ◽  
Mineral Density ◽  
Compression Fractures ◽  
Long Term Treatment ◽  
Thoracic And Lumbar Spine ◽  
Vertebral Bodies ◽  
Adequate Decompression

Experience in surgical treatment of 11 patients (1998-2008) with complicated compression fractures of the thoracic and lumbar spine vertebral bodies on the background of osteoporosis has been presented. Mean age of patients was 58 years (from 37 to 74 years). The treatment consisted of the adequate decompression of spinal canal followed by correction and multilevel fixation of the spine with CDI system. Decision on the fixation extent was made with regard for the degree of bone mineral density and vertebral body injury. Follow up period made up 1-10 years. Long term treatment results were assessed clinically and roentgenologically. Correction of kyphosis was noted in all cases. In the late period slight loss of the achieved correction (within 12°) was observed but the patients did not complained of spinal pains. In patients operated on in early terms (up to 2 months) after neurologic complications development the more rapid regress of neurologic symptoms was noted. It was shown that differentiated approach to the choice of surgical technique enabled to achieve favorable results.

Classification of symptomatic osteoporotic compression fractures of the thoracic and lumbar spine

2006 ◽  
Vol 13 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Chieh-Tsai Wu ◽  
Sai-Cheung Lee ◽  
Shih-Tseng Lee ◽  
Jyi-Feng Chen
Keyword(s):  
Lumbar Spine ◽  
Compression Fractures ◽  
Thoracic And Lumbar Spine ◽  
Osteoporotic Compression Fractures
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