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Vertebral crush fracture (3.6%).
On the basis of this evidence it was concluded that there is no difference in the trabecular architecture between patients with crush fracture and controls when account is taken of bone mass.
Historical evidences refer the wound at the leg, sometimes proximally to the foot, other times around the knee but surely more than 20 hours passed from the injury to first aids; therefore, the injury might have involved also the vascular bundle along with the crush fracture [ 7– 9, 11, 12, 20].
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Bisphosphonate intervention should be restricted to children with multiple vertebral crush fractures, who may also experience debilitating chronic bone pain [151, 152, 153].
Low energy vertebral crush fractures are the most typical clinical expression of osteoporosis.
Other studies evaluate the prevalence of vertebral crush fractures only in the IBD group without quantifying these fractures in a control group with similar characteristics [ 8- 12].
Control group subjects with vertebral crush fractures, however, were older than those without fractures (53.1 ± 10.0 vs. 37.1 ± 9.5; p = 0.005) in both the lumbar spine and femur.
For crush fractures (N = 46, OP = 26 with complete radiographic data), the Beck Index was 0.74 (OP same), the alternative Beck Index was 0.64 (OP same).
In our study, the prevalence of morphometric vertebral crush fractures was higher in patients with IBD than in controls of the same age and gender.
Our results confirm these observations where the alternative BI was improved from 0.53 to 0.75 in biconcave but also from 0.64 to 0.85 in crush fractures while it only increased from 0.68-0.79 in wedge shaped fractures.
The primary aim of the study was to evaluate the prevalence of morphometric vertebral crush fractures in patients with IBD and to compare it with the prevalence in a control population with similar characteristics.
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