Structural scoliosis in osteoporotic women.
Fifty women (mean age 69 +/- 5 years) with biopsy-proven osteoporosis and back pain were radiographically studied for scoliosis, kyphosis, and compression fractures. Twenty-four (48%) osteoporotics had at least 10 degrees of structural scoliosis. Curves were indistinguishable from those of idiopathic scoliosis. Lumbar and thoracolumbar curves were most common. The kyphosis averaged 70 degrees +/- 17 degrees and spanned 9.8 +/- 1.75 vertebrae. Forty-seven patients had 140 compression fractures. Fractures occurred within, but were usually not the cause of, scoliotic curves. Scoliosis in elderly women is a clinical marker and may be a risk factor for osteoporosis and compression fractures. Adult scoliotic patients should be evaluated for osteoporosis with iliac bone biopsies and aggressively treated.
D000368:Aged; D005260:Female; D005598:Fractures, Spontaneous / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007738:Kyphosis / Q000150:complications / Q000000981:diagnostic imaging; D008159:Lumbar Vertebrae / Q000293:injuries*; D008593:Menopause; D010024:Osteoporosis / Q000150:complications*; D011859:Radiography; D012600:Scoliosis / Q000150:complications* / Q000000981:diagnostic imaging; D013904:Thoracic Vertebrae / Q000293:injuries*