title: Practical use of bone scan in patients with an osteoporotic vertebral compression fracture.
abstract: Rib fractures are one of main causes of chest or flank pain when related to an osteoporotic vertebral compression fracture (OVCF). The authors investigated the incidence and risk factors of rib fracture in 284 patients with OVCF using bone scans and evaluated the feasibility as to whether bone scans could be utilized as a useful screening tool. Hot uptake lesions on ribs were found in 122 cases (43.0%). The factors analyzed were age, sex, number and locations of fractured vertebrae, BMD, and compression rates as determined using initial radiography. However, no statistical significances were found. In 16 cases (5.6%), there were concurrent multiple fractures of both the thoracic and lumbar spines not detected by single site MRI. Sixty cases (21.1%) of OVCF with the a compression rate of less than 15% could not be identified definitely by initial plain radiography, but were confirmed by bone scans. It is concluded that a bone scan has outstanding ability for the screening of rib fractures associated with OVCF. Non-adjacent multiple fractures in both thoracic and lumbar spines and fractures not identified definitely by plain radiography were detected on bone scans, which provided a means for determining management strategies and predicting prognosis.
authors: Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea.
authors: Deuk Soo
authors: 0000-0001-6244-4828
authors: DS
authors: Jun
authors: Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea.
authors: Byoung Keun
authors: 0000-0001-9979-440X
authors: BK
authors: An
authors: Department of Orthopaedic Surgery, Seoul Jaeil Hospital, Pyeongtaek, Korea.
authors: Chang Hun
authors: 0000-0003-3225-1165
authors: CH
authors: Yu
authors: Department of Nuclear Medicine, Gil Medical Center, Gachon University, Incheon, Korea.
authors: Kyung Hoon
authors: 0000-0002-4148-4633
authors: KH
authors: Hwang
authors: Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea.
authors: Je Won
authors: 0000-0001-9617-7617
authors: JW
authors: Paik
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density; D005260:Female; D050815:Fractures, Compression / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000453:epidemiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000000981:diagnostic imaging* / Q000473:pathology; D058866:Osteoporotic Fractures / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000453:epidemiology*; D012253:Rib Fractures / Q000453:epidemiology*; D013131:Spine / Q000473:pathology; D014057:Tomography, X-Ray Computed
keywords: Compression Fracture; Osteoporosis; Osteoporotic Fracture; Rib Fracture; Spine
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