Long-term changes in bone mineral density following adolescent idiopathic scoliosis surgery: a minimum 34-year follow-up.
Tsutomu AkazawaToshiaki KotaniTsuyoshi SakumaYasushi IijimaYoshiaki ToriiJun UenoAtsuhiro YoshidaYawara EguchiKazuhide InageYusuke MatsuuraTakane SuzukiHisateru NikiSeiji OhtoriShohei MinamiPublished in: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie (2023)
Significant reductions in BMD and an increased prevalence of osteopenia and osteoporosis were observed in middle-aged female AIS patients who had undergone spinal fusion. The decline in Z-scores in patients with AIS suggested that there was an accelerated loss of BMD compared with the general population. Larger residual curves could pose an added osteoporosis risk. Further research is needed to understand if the onset of osteoporosis in AIS patients is attributable to the condition itself or the surgical intervention.
Keyphrases
- bone mineral density
- postmenopausal women
- body composition
- middle aged
- end stage renal disease
- newly diagnosed
- randomized controlled trial
- ejection fraction
- minimally invasive
- risk factors
- spinal cord
- peritoneal dialysis
- prognostic factors
- spinal cord injury
- coronary artery bypass
- atrial fibrillation
- surgical site infection
- patient reported