Bone Mineral Density in Patients With Coxarthrosis With Concomitant Spinal Pathology
ARTICLE PDF (Українська)

Keywords

coxarthrosis; lumbar-hip syndrome; x-ray densitometry; bone mineral density.

How to Cite

Haluzynskyi, O., Haiko, O., & Gayko , G. (2020). Bone Mineral Density in Patients With Coxarthrosis With Concomitant Spinal Pathology. Visnyk Ortopedii Travmatologii Protezuvannia, (3(106), 17-23. https://doi.org/10.37647/0132-2486-2020-106-3-17-23

Abstract

Summary. Relevance. Combined pathology of the lumbar spine and hip joint is rightly considered one of the serious problems of modern orthopedics. Among the many factors that can cause lumbar spine pain, a decrease in bone mineral density (BMD) of the vertebral bodies in the form of osteoporosis may play a role. Objective: to study BMD in patients with osteoarthritis of the hip joints with concomitant pathology of the spine. Materials and Methods. The analysis of data of densitometric and statistical research of 62 patients who had grade III-IV coxarthrosis (CA) with concomitant pathology of the spine was carried out. Results. Decreased BMD in patients with grade III CA was found in 22 (35.4%) in the form of osteopenia and in 8 (12.9%) as osteoporosis; in patients with grade IV CA – in 4 (6.4%) and in 17 (27.4%) – respectively. It was found that BMD in patients with grade IV CA is significantly lower than in patients with grade III and there is a probable medium-strength relationship between a stage of CA and BMD of the femoral neck. It has been proven that patients with hypoplastic coxarthrosis and the true form of lumbar vertebral syndrome (LVS) have probably lower mean BMD values and exactly these groups of patients have the highest incidence of osteopenia and osteoporosis. Conclusions. 51 (82%) patients with grade III-IV CA revealed a decrease in BMD in the form of osteopenia and osteoporosis, the degree of which depends on the severity of the disease and functional insufficiency of the limb. Changes in BMD have their own characteristics in patients with different types of CA and forms of LVS.

https://doi.org/10.37647/0132-2486-2020-106-3-17-23
ARTICLE PDF (Українська)

References

Шапошников ЮГ. Травматология и ортопедия: рук–во в 3 томах. М.: Mед.; 1997. Том 3; 408 c.

Shaposhnikov YG. Traumatology and orthopaedics: 3 volumes manual. Moscow: Med; 1997. Vol. 3; 408 p.

Matsui H, Shimizu M, Tsuji H. Cartilage and subchondral bone interaction in osteoarthrosis of human knee joint: A histological and histomorphometric study. Microsc. Res. Tech. 1997;37(4):333-42. DOI: 10.1002/(SICI)1097-0029(19970515)37:4%3C333::AID-JEMT8%3E3.0.CO;2-L.

Попова ЛА, Сазонова НВ, Волокитина ЕА. Коксартроз в структуре заболеваний опорно-двигательной системы: современный взгляд на этиологию, патогенез и методы лечения (аналитический литературный обзор). Гений ортопедии. 2006;4:91-98.

Popova LA, Sazanov NV, Volokitina EA. Coxarthrosis in the structure of locomotor system diseases: current view in to etiology, pathogenesis and methods of treatment (analytical review of literature). Genij ortopedii. 2006;4:91-98.

Zhang Y, Jordan JM. Epidemiology of Osteoarthritis. Clin Geriatr Med. 2010;26(3):355-69. DOI: 10.1016/j.cger.2010.03.001.

Vad VB, Bhat AL, Basrai D, Gebeh A, Aspergren DD, Andrews JR. Low back pain in professional golfers: the role of associated hip and low back range of motion deficits. Am. J. Sports Med. 2004;32(2):494-7. DOI: 10.1177/0363546503261729.

Денисов АО, Шильников ВА, Барнс СА. Коксо-вертебральный синдром и его значение при эндопротезировании тазобедренного сустава (обзор литературы). Травматология и ортопедия России. 2012;(1):121-7. DOI: 10.21823/2311-2905-2012-0-1-144-149.

Denisov AO, Shilnikov VA, Barns SA. Coxa-vertebral syndrome and its significance in hip arthroplasty (review). Traumatology and Orthopedics of Russia. 2012;1:121-127. DOI: 10.21823/2311-2905-2012-0-1-144-149.

Offierski C, Macnab I. Hip –spine syndrome. Spine. 1983;8(3):316-21. DOI: 10.1097/00007632-198304000-00014.

Вакуленко ВМ. Коксартроз при дистрофічному ураженні попереково-крижового відділу хребта (діагностика, лікування, прогнозування) [автореферат дис. на здобуття наук. ступ. д-ра мед. наук]. Донецьк: Інститут травматології та ортопедії ДонНМУ ім. М. Горького; 2009. 27 с.

Vaculenko VM. Coxarthrosis in dystrophic lesions of the spine (diagnostic, treatment, prophylaxis) [avtoref. on MD graduating]. Donetsk: Institute of traumatology and orthopedics DonNMU; 2009. 27 p.

Хвисюк ОМ. Тазобедренно-поясничный синдром (патогенез, диагностика, принципы лечения): [автореферат дис. на здобуття наук. ступ. д-ра мед. наук]. Харків: ДУ ІПХС ім. проф. М.І. Ситенка НАМНУ; 2002. 28 с.

Khvisiuk OM. Hip-spine syndrome (pathogenesis, diagnostic, treatment principles) [avtoref. on MD graduating]. Kharkiv: SI IPSJ; 2002. 28 p.

Корж НА, Поворознюк ВВ, Дєдух НВ, Зупанець ІА. Остеопороз: епідеміологія, клініка, діагностика, профілактика та лікування. Харків: Книга плюс; 2002. 648 с.

Korzh NA, Povorozniuk VV, Diedukh NV, Zupanec IA. Osteoporosis: epidemiology, manifestation, diagnostic, prophylaxis and treatment). Kharkiv: Kniga plus; 2002. 648 p.

Bianchi ML, Orsini MR, Saraifoger S, Ortolani S, Radaelli G, Betti S. Quality of life in post-menopausal osteoporosis. Health Qual Life Outcomes. 2005;(3):78. DOI: 10.1186/1477-7525-3-78.

Гайко ГВ, Калашніков ОВ. Форми прогресування остеоартрозу кульшового суглоба. Вісник ортопедії, травматології та протезування. 2012;4:10-14.

Gayko GV, Kalashnikov OV. Progression forms of hip joint osteoarthritis. Visnyk ortopediy, travmatologiy ta protezuvannia. 2012;4:10-14.

Мінцер ОП, Вороненко ЮВ, Власов ВВ. Інформаційні технології в охороні здоров’я і практичній медицині: Оброблення клінічних і експериментальних даних у медицині: Навч. посіб. К.: Вища школа; 2003. 350 с.

Mintser OP, Voronenko YV, Vlasov VV. IT in the health care and medical practice: Clinical and experimental data processing in medicine: Scientific manual. Kyiv: Vyshca shkola; 2003. 350 p.

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