Diagnosis of osteoporotic vertebral fractures in children.

Osteoporosis is a generalised disorder of the skeleton with reduced bone density and abnormal bone architecture. It increases bone fragility and renders the individual susceptible to fractures. Fractures of the vertebrae are common osteoporotic fractures. Vertebral fractures may result in scoliosis...

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Publicado en:Pediatric Radiology Vol. 49; no. 3; pp. 283 - 297
Autores principales: Alqahtani, Fawaz F., Offiah, Amaka C.
Formato: research Journal Article
Publicado: Springer Nature Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Diagnosis of osteoporotic vertebral fractures in children.
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        au:
          Alqahtani, Fawaz F.
          Offiah, Amaka C.
        affil: Academic Unit of Child Health, Department of Oncology and Metabolism, Medical School, Damer Street Building, Sheffield Children's Hospital, University of Sheffield, Western Bank, S10 2TH, Sheffield, UK
      sug:
        subj:
          Bone Density
          Spinal Fractures
          Female
          Absorptiometry, Photon
          Child
          Human
          Male
          Child: 6-12 years
          Female
          Male
      ab: Osteoporosis is a generalised disorder of the skeleton with reduced bone density and abnormal bone architecture. It increases bone fragility and renders the individual susceptible to fractures. Fractures of the vertebrae are common osteoporotic fractures. Vertebral fractures may result in scoliosis or kyphosis and, because they may be clinically silent, it is imperative that vertebral fractures are diagnosed in children accurately and at an early stage, so the necessary medical care can be implemented. Traditionally, diagnosis of osteoporotic vertebral fractures has been from lateral spine radiographs; however, a small number of studies have shown that dual energy x-ray absorptiometry is comparable to radiographs for identifying vertebral fractures in children, while allowing reduced radiation exposure. The diagnosis of vertebral fractures from dual energy x-ray absorptiometry is termed vertebral fracture assessment. Existing scoring systems for vertebral fracture assessment in adults have been assessed for use in children, but there is no standardisation and observer reliability is variable. This literature review suggests the need for a semiautomated tool that (compared to the subjective and semiquantitative methods available) will allow more reliable and precise detection of vertebral fractures in children.
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        Journal Article
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    language: English
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