Effect of axial loading on bone mineral density in patients with traumatic spinal cord injury

dc.contributor.authorCan, Aytaç
dc.contributor.authorDöşoğlu, Murat Servan
dc.contributor.authorKaracan, İlhan
dc.contributor.authorKaramehmetoğlu, Şafak
dc.date.accessioned2020-05-01T09:11:36Z
dc.date.available2020-05-01T09:11:36Z
dc.date.issued2007
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000256795500003en_US
dc.descriptionPubMed: 17682951en_US
dc.description.abstractBACKGROUND Osteoporosis occurs in paralyzed extremities secondary to immobilization following spinal cord injury (SCI). Bone mineral density (BMD) is rapidly lost after SCI Loss of BMD may reach fracture threshold although it slows with time. This study was planned to investigate the option of impediment of osteoporosis by early axial loading in immobilized patients. METHODS Fifteen patients with complete paraplegia having spinal cord lesion between T4-L1 and 15 normal volunteers were included into the study. Time, mechanism and type of injury, BMD, serum calcium, phosphorus and alkaline phosphatase levels were undertaken as variables. BMD was measured by dual energy X-ray absorbtiometry (DEXA) in the femoral neck, trochanteric region and T1 and L3 spine. RESULTS The BMD values were lower in the femoral neck and trochanteric region, but there were no significant differences at T1 and L3 spine in paraplegics. CONCLUSION BMD decreases in the femoral neck and trochanteric region, secondary to immobilization. Absence of significant differences of BMD values at T1 and L3 spine in the study and control groups might be due to early rehabilitation. Sitting exercises early after stabilization might impede of the loss of BMD by axial loading to the spine. Thus, complications such as osteoporosis and pathological fractures can be prevented.en_US
dc.identifier.endpage105en_US
dc.identifier.issn1306-696X
dc.identifier.issue2en_US
dc.identifier.startpage101en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5681
dc.identifier.volume13en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectbone mineral densityen_US
dc.subjectfracturesen_US
dc.subjectbone/metabolismen_US
dc.subjectosteoporosisen_US
dc.subjectspinal cord injuryen_US
dc.titleEffect of axial loading on bone mineral density in patients with traumatic spinal cord injuryen_US
dc.typeArticleen_US

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