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RISK EVALUATION IN FRAGILE FRACTURE FORMATION*
PROCENA RIZIKA ZA NASTANAK FRAGILNIH PRELOMA

Authors

 

Emina Štrangar1, Jelena Zvekić-Svorcan2
1Department of Medical Rehabilitation.Faculty of Medicine, University of Novi Sad, Serbia.
2Special Hospital for Rheumatic Diseases Novi Sad, Serbia.


 

• The paper was received on 05.05.2016. / Accepted on 12.05.2016.

 

Correspodernce to:
Jelena Zvekić-Svorcan TA MD, MSc
Department  of  Medical Rehabilitation.
Faculty of Medicine Novi Sad.
University of Novi Sad, Serbia.
E mail: zvekic.svorcan@gmail.com

*Scientific work was presented at Students Congress of Medical faculty of Novi Sad, March 26, 2016.
Mentor: JelenaZvekić-Svorcan TA MD, MSc

 

Abstract

 

INTRODUCTION: Osteoporosis represents bonemineral density deficiency which can lead to fracture. Our aim is to detect patients with high risk of fracturein order to apply the adequate therapy.
AIM: То identify patients with high risk of osteoporosis fracture.
MATERIAL AND METHODS:Prospective studies included 65 patients of both genders aged ≥50. Bonemineral density was measured in all of the patients of hip and lumbar area of the spine.The results are given in absolute numbers and in the form of T score and are interpreted by the current definition of osteoporosis. All patients were asked identical questions from the FRAX questionnaire - model for Italy and all patients signed an agreement to be included in the study. Exclusion factors: pre-menopausal patients, the presenceof some other metabolic disease, and patients who use drugs for osteoporosis. Statistic processing and analysis were done on the computer program SPSS ver.20.tors:
RESULTS:  Average age is M=63,4±7,4 years. Most were women 84%, and the Body Mass Index value in 1/3 participants was in normal values. There are no statistically significant risk factors for bigger fractures when there is a T score(p>0.05), and without the T score they are: the number of fractures, glucocorticoids, age, secondary osteoporosis, rheumatoid arthritis, prior fractures and hip fractures that occur in the family (mother or father) (p<0.01) Significant risk factors in care of hip fractures with the T score are: secondary osteoporosis, the number of factors, glucocorticoids, rheumatoid arthritis (p<0.01), while in hip fractures without the T score we find age and prior fractures significant alongside previously listed factors(p<0.01).
CONCLUSION: Frax index is a useful tool for evaluating patients which have a ten year risk for fragile osteoporotis fracture occurrence, even when we do not know bonemineral density value.

 

 

Key words

osteoporosis, risk, FRAX,  fractures

 

 

References

 

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PDF Strangar E. and Zvekic-Svorcan J. et al • MD-Medical Data 2016;8(2) 087-094

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