Medulla Spinalis Yaralanmalı Hastalarda Osteoporozun Değerlendirilmesi

Aim: To investigate the relationship between osteoporosis and demographic features, clinical characteristics,risk factors in younger SCI patients.\udMaterials and Methods: Between January-June 2009, all SCI patients admitted to our hospital evaluated and 58 patients who were younger\udthan 50 years who had osteoporosis were enrolled.Patients age, gender, educational status, duration of injury, smoking, sunlight exposure and\uddietary habits were questioned. Neurological level, completeness, ambulation status and spasticity were assessed. Relationship between these\udfindings with the severity of osteoporosis has been viewed.\udResults: There were 19 women. Mean age was 35,7 years. The mean time since injury were 117.7 months. 42 patients were paraplegia (17\udcomplete), 16 were tetraplegia (4 complete).The most common osteoporotic site where the legs. There was no correlation between BMD values\udwith age. In men, the legs and total body BMD were significantly lower.The effect of educational level on BMD was not found. No significant\udcorrelation was found between time since injury and BMD. In paraplegics, femoral neck and total femur Z-scores were significantly lower. In\udtetraplegics, Z scores of the arms were lower, but was not significant. Lumbar BMD values of complete patients were significantly lower than\udincompletes. Sunlight exposure and consumption of milk/milk products had not a significant positive effect on BMD. 8 patients had therapeutic\udambulation, whereas 23 of them had community ambulation. Ambulation status of patients and the presence of spasticity was no effect on BMD.\udThere was no significant correlation between BMD and the severity of spasticity. Smokers (n=19), bone density was lower in all regions except\udfor femoral neck but were not significantly.\udConclusion: Male gender, paraplegia, and incompleteness negatively effects the bone density. Age, time since injury, education level, spasticity,\udambulation level, smoking, sunlight exposure and dietary habits has no significant effect on bone density. (Turkish Journal of Osteoporosis\ud2011;17:71-6