Abstract:

Purpose: This study examined the extent to which the integrity of the vertebra is affected in patients with osteopenia. The study included 304 women aged 40-74 who were treated in the internal diseases clinic of a second stage health institution. Total lomber T and Z scores and femur neck T and Z scores were analyzed by double-energy X-ray absorbtion meters. The T score included patients between -1 and -2.4 and the patient's torasic and lomber vertebrates were evaluated with dorsal and ventral X-ray imaging. Patients were examined whether there was a vertebral break and if there was, the severity of the break was determined. Results: In 30.6 percent of patients, vertebral fractures were detected and the scoliosis rate was higher in these patients than in non-breaking patients (p<0,001). There was a significant relationship between the frequency of spinal fractures and the number of last years after menopause (p<0,001). Compared with premenopausal and postmenopausal periods, a significant increase was observed at the threshold of menopause and the frequency of break (p=0,036). The body mass index (VKI) levels were significantly high in fragile patients (p=0,001). There was no meaningful relationship between the Lomber T score and the vertebral breakdown frequency (p=0.469) and the scoliosis frequency (p=0.116). The result: the period after menopause increases the frequency of breakdown. Unlike the general literature, our study has shown an increase in the frequency of breaking with obesity and increased HIV. When we scaned three hundred and four osteopenial patients with direct radiography, we found a significant break rate, but the breakdowns of most patients were "silent". While osteopenia is common in society, our study, as in literature, also shows that these patients should be studied in terms of vertebral breakdown, even if they have no symptoms.