1. Impact of assessment of bone status before corrective surgery of lumbar spine in patients over 50 years old
- Author
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Banse C, Ould-Slimane M, Foulongne E, Perez A, Avenel G, Daragon A, and Vittecoq O
- Subjects
osteoporosis ,spine surgery ,bone evaluation ,fracture ,TBS ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Christopher Banse,1,2 Mourad Ould-Slimane,3 Emmanuel Foulongne,3 Alexis Perez,4 Gilles Avenel,1 Alain Daragon,1 Olivier Vittecoq11Rheumatology Department, Rouen University Hospital, 76000 Rouen, France; 2Rheumatology Department, Polyclinique Saint Côme, 60200 Compiègne, France; 3Department of Orthopaedic Surgery, Rouen University Hospital, 76000 Rouen, France; 4Department of Neurosurgery, Rouen University Hospital, 76000 Rouen, FranceBackground and objective: There is absence of data on the prevalence of osteoporosis before corrective surgery of the lumbar spine. We do not know the impact of bone assessment before corrective spine surgery, regarding the prevalence of osteoporosis, risk factors for osteoporosis, and prescription of osteoporotic treatment. Our objective was to evaluate the impact of assessment of bone status before corrective surgery of the lumbar spine.Methods: This retrospective study was conducted over a period of 30 months. Patients included were over 50 years old and had been referred to rheumatology consultation prior to corrective surgery of the lumbar spine with osteosynthesis, for scoliosis or spondylolisthesis. Assessment of bone status consisted in looking for risk factors for osteoporotic fracture, performing bone densitometry with the calculation of TBS (trabecular bone score) and the possible introduction of treatment for osteoporosis. Data were collected on complications related to bone fragility during follow-up.Results: Twenty-eight patients with a median age of 71.2 years (55.5–84.8) were included; 89% were women. T score was
- Published
- 2019