The evaluation of bone mineral density in traumatic cervical spinal cord injury patients Travmati̇k servi̇kal omuri̇li̇k yaralanmali hastalarda kemi̇k mi̇neral yoǧunluǧu deǧerlendi̇ri̇ mi̇
Journal of Rheumatology and Medical Rehabilitation, cilt.15, sa.2, ss.94-101, 2004 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 2
- Basım Tarihi: 2004
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.94-101
- Anahtar Kelimeler: Bone mineral density, Osteoporosis, Spinal cord injury, Tetraplegia
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
After a while from spinal cord injury, the loss of calcium from bones occurs. The aim of this study was to evaluate the effect of ambulation level, lesion seventy and disease duration on bone mineral density (BMD) in traumatic cervical spinal cord injury patients. 30 patients with traumatic cervical spinal cord injury patients and 33 healthy controls were included in the study. The BMD values of all cases were evaluated with DEXA at lomber and femoral region. Blood chemistry parameters were also evaluated in all patients. The BMD values of all patients were lower than the controls in all regions. Ambulation level, lesion seventy and disease duration did not significantly effect the BMD values measured at all regions. Serum phosphorus, ALP, calcium in 24 hours urine sample and the calcium/creatinine ratio in spot urine sample parameters were significantly higher in the patient group than the control group. We found out that acute period was responsible of the increase in 24 hours urine sample and the calcium/creatinine ratio in spot urine sample parameters. Ambulation level, lesion severity did not significantly affect the BMD values measured at all regions. These results might show that not only immobilization but also the autonomic nerve system dysfunction caused by the neurologic lesion have an impact on osteoporosis in traumatic cervical spinal cord injury patients.