VERTEBRAL AND PERIPHERAL FRACTURES: DIAGNOSTIC TOOLS AND MEDICO-SOCIAL SIGNIFICANCE

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Medico-social significance of osteoporosis is determined by the high frequency of low-traumatic fractures of bone. According to the European Vertebral Osteoporosis Study the prevalence of vertebral fractures was 11,5% in women of 50-54 years of age and reached 34.8% in women of 75-79. The only prospective population-based study conducted in Russia have showed that the incidence of new vertebral fractures was 5,9% in men and 9,9% in women over 50. Stratified epidemiologic study conducted in St. Petersburg, have showed that in men the peak of clinical fractures, developed with minimal trauma, was at the age of 20-24 and 65-69. In women the peak of fractures was determined at the ages 50-54 years. It has been suggested that early administration of antiosteoporotic drugs can effectively prevent vertebral and peripheral fractures.

作者简介

E. Zotkin

ГОУ ДПО «Санкт-Петербургская медицинская академия последипломного образования Росздрава»

编辑信件的主要联系方式.
Email: ezotkin@mail.ru
заведующий кафедрой сестринского дела и социальной работы 俄罗斯联邦

O. Khurtsilava

ГОУ ДПО «Санкт-Петербургская медицинская академия последипломного образования Росздрава»

Email: fake@neicon.ru
д.м.н., ректор 俄罗斯联邦

I. Zubkova

ГОУ ДПО «Санкт-Петербургская медицинская академия последипломного образования Росздрава»

Email: fake@neicon.ru
ассистент кафедры сестринского дела и социальной работы 俄罗斯联邦

Yu. Safonova

ГОУ ДПО «Санкт-Петербургская медицинская академия последипломного образования Росздрава»

Email: fake@neicon.ru
ассстент кафедры сестринского дела и социальной работы 俄罗斯联邦

参考

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  2. Lips P. Epidemiology and predictors of fractures associated with osteoporosis/P. Lips//Am. J. Med. -1997. -Vol. 103, Suppl. 2A -P. 3S-11S.
  3. Nevitt M.C. Risk factors for a first-incident radiographic vertebral fracture in women i 65 years of age: the study of osteoporotic fractures/M.C. Nevitt//J. Bone Miner. Res. -2005. -Vol. 20. -P. 131 -140.
  4. O'Naill T.W. The prevalence of vertebral deformity in European men and women: the European Vertebral Osteoporosis Study/T.W. O'Naill [et al.]//J. Bone Miner. Res. -1996. -Vol. 11. -P. 1010-1018.
  5. Schousboe J.T. Association between self-reported prior wrist fractures and risk of subsequent hip and radiographic vertebral fractures in older women: a prospective study/J.T. Schousboe [et al.]//J. Bone Miner.Res. -2005. -Vol. 20. -P. 99-106.
  6. Torgerson D.J. Prescribing by general practitioners after an osteoporotic fracture/D.J. Torgerson, P. Dolan//Ann. Rheum. Dis. -1998. -Vol. 57. -P.378-379.

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