| Objective:With the acceleration of aging, the bone degenerative disease that the incidence of osteoporosis has increased.The osteoporotic fracture is the most serious complication of osteoporosis. The Spine and hip fractures not only caused the patients body and mind serious injury and reduced the quality of life, also a great burden for the family and the society because of its high morbidity and mortality rate.Currently it is no fundamental cure on osteoporotic fracture, so how to forecast the osteoporotic fracture and assessment of risk factors and how to prevent the occurrence of fracture has become the important method to prevent and cure of osteoporotic fractures.In clinical the mostly occurrence of osteoporotic fracture caused by fall under the adverse external factors.Therefore to prevention and cure of osteoporotic fractures not only requires the use of anti osteoporosis drugs to delay the development of osteoporosis, also need to avoid and reduce the opportunity of fall under the external trigger,so that to reduce the risk of osteoporotic fracture. To avoid and reduce the occurrence of falls has become the important contents of the prevention of osteoporotic fractures.In the present study to investigate the relationship between the risk of osteoporotic fracture in old people and the spinal morphology and mobility. And assessment the effect of spinal curvature and spinal activity in older against fall under the external incentives.To explore the impact that the overall balance ability of spine have on the risk of osteoporotic fracture. We provide the basis for prevention and cure osteoporotic fracture in clinical2. Methods:2.1107old people’s BMD of femoral neck were measured by Dual energy X-ray. A questionnaire survey on fracture risk factors of the107aged and data collection were adopted. Then, applied with the fracture risk assessment tools(FRAX) WHO recommends, a risk assessment on osteoporotic fracture in old people was done, followed with the calculation of the probability of the hip fracture and the main bone fractures (spine, hip, forearm or shoulder fractures) in ten years.2.2the old people’s included angles of spine vertebra, spine curvature, and trunk incline angle in the upright, flexion, extension and weight positions were measured by Spinalmouse. Correlation analysis between the probability of fracture risk and included angles of spine vertebra, spine curvature, and trunk incline angle were adopted.3. Results:3.1The probability of osteoporotic fracture had a positive relation withT7/8, thoracic spine curvature, lumbar curvature and incline angle in upright position (P<0.05). 3.2The probability of osteoporotic fracture had a negative relation with the changes of thoracic spine curvature from the upright to the flexion position (P<0.05), but not changes of lumbar curvature. There was no notable relation between the probability of osteoporotic fracture and the changes of thoracic spine curvature and lumbar curvature from the upright to the extension position.3.3The probability of osteoporotic fracture appeared positive relation with the changes of thoracic spine curvature and incline angle in the weight position (P<0.05), but not the changes of lumbar curvature.4. Conclusions:4.1The old people’s morphological characteristics and mobility of spine have the ability to reflect the risk level of osteoporotic fracture. The balance ability of spine can be an independent factor to evaluate the risk of osteoporotic fracture.4.2In order to reduce the occurrence of osteoporotic fracture,it can restore the normal spinal physiological curvature and abilit through treatment and training, while strengthening training the muscles of the back so that to avoid and reduce chance of fall under the the external incentives In clinic. |
