척수손상 환자에서 이소성 골화증의 진단 및 발생위험인자

Other Titles
Diagnosis and Risk Factors for Heterotopic Ossification in Spinal Cord Injury
Authors
박기영박창일윤태식
Department
Dept. of Rehabilitation Medicine (재활의학)
Issue Date
1993
Citation
대한재활의학회지, Vol.17(3) : 374-383, 1993
ISSN
1225-584X
Abstract
Heterotopic ossification is a frequent complication in patients with spinal cord injury. The purpose of this study is to investigate location, the efficacy of diagnostic tools, and risk factors for heterotopic ossification in traumatic spinal cord injury. Seventy-one patients with traumatic spinal cord injury who were admitted in the department of rehabilitation medicine, Severance hospital, Yonsei university college of medicine, between September 1, 1992 and April 15, 1993, were studied. All were at least 6 months post injury. They were divided into 2 groups: 15 patients with heterotopic ossification and 56 patients without. The results are as follows: 1) Fifteen (21.1%) of 71 patients with traumatic spinal cord injury developed heterotopic ossification. 2) The most common location of heterotopic ossification was around the hip joint, especially the anteromedial aspect. 3) The risk factors found to be significantly related to heterotopic ossification formation were anemia, presence of pressure sores and spasticity. The risk factors appeared to be cumulative. 4) Serum alkaline phosphatase levels were elevated in all of the patients who were diagnosed with heterotopic ossification within 12 months after injury. The dynamic phase of the 3 phase bone scan showed increased vascularity in areas of ossification before plain roentgenography revealed ossification. In accordance with the above finding, close clinical observation and serial laboratory tests are needed in patients at risk. Serial serum alkaline phosphatase measurements, roentgenography and 3 phase bone scan are required for early diagnosis and evaluation of the maturity of heterotopic ossification.
Keywords
Spinal cord injuryHeterotopic ossificationRisk factorDiagnosis
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39475
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
Keimyung Author(s)
박기영
File in this Item
oak-bbb-3492.pdf(396.65 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE