Five-Year Longitudinal Bone Evaluations In Individuals With Chronic Complete Spinal Cord Injury

作者: Douglas Garland , Rodney Adkins , Charles Stewart

DOI: 10.1080/10790268.2008.11753650

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摘要: AbstractBackground/Objectives:Knowledge of spinal cord injury (SCI) bone changes has been derived primarilythrough cross-sectional studies, many which are controvertible. Longitudinal studies sparse, and longtermlongitudinal chronic unavailable. The objective this study was to provide a clearerperception longitudinal variations in people with complete SCI.Methods:Bone status 31 individuals chronic, SCI assessed twice using dual-energy xrayabsorptiometry at an average interval 5.06 ± 0.9 years. Because the sample women small (4),the primary analyses change comparisons those paraplegia vs tetraplegia were confined themale participants.Results: Spine Z-scores showed significant increase (P < 0.0001 ). Z-scores, initial followup,were within normal range. Hip also ), hipbone mineral density (BMD) increased 48% participants. Knee BMD lo...

参考文章(26)
Douglas E. Garland, Rodney H. Adkins, Michael Scott, Harwinder Singh, Maliheh Massih, Charles Stewart, Bone Loss at the Os Calcis Compared with Sone Loss at the Knee in Individuals with Spinal Cord Injury Journal of Spinal Cord Medicine. ,vol. 27, pp. 207- 211 ,(2004) , 10.1080/10790268.2004.11753749
Douglas E. Garland, Rodney H. Adkins, Vivek Kushwaha, Charles Stewart, Risk factors for osteoporosis at the knee in the spinal cord injury population. Journal of Spinal Cord Medicine. ,vol. 27, pp. 202- 206 ,(2004) , 10.1080/10790268.2004.11753748
William D. Leslie, Patricia W. Nance, Dissociated hip and spine demineralization: A specific finding in spinal cord injury Archives of Physical Medicine and Rehabilitation. ,vol. 74, pp. 960- 964 ,(1993) , 10.5555/URI:PII:000399939390274E
Frederick M. Maynard, Immobilization hypercalcemia following spinal cord injury Archives of Physical Medicine and Rehabilitation. ,vol. 67, pp. 41- 44 ,(1986) , 10.5555/URI:PII:0003999386905034
Richard B. Mazess, Bone densitometry of the axial skeleton. Orthopedic Clinics of North America. ,vol. 21, pp. 51- 63 ,(1990) , 10.1016/S0030-5898(20)31565-0
David Roberts, Winnifred Lee, Ross C. Cuneo, Johannes Wittmann, Greg Ward, Robert Flatman, Brett McWhinney, Peter E. Hickman, Longitudinal study of bone turnover after acute spinal cord injury. The Journal of Clinical Endocrinology and Metabolism. ,vol. 83, pp. 415- 422 ,(1998) , 10.1210/JCEM.83.2.4581
E Wilmet, A A Ismail, A Heilporn, D Welraeds, P Bergmann, Longitudinal study of the bone mineral content and of soft tissue composition after spinal cord section Spinal Cord. ,vol. 33, pp. 674- 677 ,(1995) , 10.1038/SC.1995.141
Douglas E. Garland, Charles A. Stewart, Rodney H. Adkins, Serena S. Hu, Charles Rosen, Ferdinand J. Liotta, David A. Weinstein, Osteoporosis after spinal cord injury Journal of Orthopaedic Research. ,vol. 10, pp. 371- 378 ,(1992) , 10.1002/JOR.1100100309
Alvin A Freehafer, Coletta M Hazel, Connie L Becker, Lower extremity fractures in patients with spinal cord injury Spinal Cord. ,vol. 19, pp. 367- 372 ,(1981) , 10.1038/SC.1981.69
D Uebelhart, B Demiaux-Domenech, M Roth, A Chantraine, Bone metabolism in spinal cord injured individuals and in others who have prolonged immobilisation. A review. Spinal Cord. ,vol. 33, pp. 669- 673 ,(1995) , 10.1038/SC.1995.140