COVİD PANDEMİSİNDE OSTEOPOROZA BAĞLI VERTEBRAL FRAKTÜRLERDEKİ ARTIŞ

Yıl 2025, Cilt: 26 Sayı: 1, 52 - 55, 27.01.2025

İlker Kiraz , Nazar Çiltemek

https://doi.org/10.18229/kocatepetip.1405464

Öz

AMAÇ: Tanımlayıcı ve kesitsel tipteki çalışma ile Covid-19 pandemisi sürecinde kronik bir hastalık olan osteoporozun artan vakalarını ve buna bağlı olarak osteoporozun neden olduğu vertebral kırıklarda kifoplasti/vertebroplasti sayısındaki artışı incelemektir.
GEREÇ VE YÖNTEM: Bu çalışmada, 2016 ile 2022 yılları arasında vertebral kırık nedeniyle kifoplasti ve vertebroplasti uygulanan toplam 250 hastanın retrospektif analizi yapıldı. Salgın öncesi ve sonrası dönemlerde cerrahi müdahale sayıları karşılaştırıldı. Etik kurul onayı alındıktan sonra veriler toplandı ve analiz edildi.
BULGULAR: İncelenen 250 hastanın %64.4'ünün kadın olduğu belirlenmiştir. Hastaların %40.8'i pandemi öncesi döneme, %59.2'si ise pandemi sonrası döneme aittir. Kifoplasti/vertebroplasti uygulanan hastaların %51.6'sında travma dışı nedenlere bağlı kırık olduğu tespit edilmiştir. Osteoporoz tanısı konulan 101 hastanın %31.6'sı pandemi öncesi döneme, %68.4'ü ise pandemi sonrası döneme aittir. Tedavi alan hastaların %48.9'u pandemi sonrası döneme aittir.
SONUÇ: Bu çalışma, COVID-19 pandemisi sırasında osteoporoz tanısı alan hastalarda vertebral kırıkların arttığını ve tedaviye olan erişimin azaldığını ortaya koymaktadır. Salgın döneminde aktivite eksikliği ve tedaviye olan erişimin kısıtlanması, osteoporozla ilişkili vertebral kırıkların artmasına yol açmaktadır. Sonuç olarak, pandemi sürecinde osteoporoz tanısı alan kişi sayısının arttığı ve buna bağlı oluşan kırıklar sonucunda kifoplasti oranlarında artış olduğu görülmüştür.

Anahtar Kelimeler

Covid-19, Osteoporoz, Omurga kırıkları.

INCREASE IN VERTEBRAL FRACTURES DUE TO OSTEOPOROSIS DURING THE COVID PANDEMIC

Öz

OBJECTIVE: The aim of this descriptive and cross-sectional study is to examine the increasing cases of osteoporosis, a chronic disease, during the Covid-19 pandemic and the resulting increase in the number of kyphoplasty/vertebroplasty in vertebral fractures caused by osteoporosis.
MATERIAL AND METHODS: In this study, a retrospective analysis was performed of a total of 250 patients who underwent kyphoplasty and vertebroplasty due to vertebral fractures between 2016 and 2022. The number of surgical interventions before and after the epidemic was compared. After ethics committee approval was obtained, data were collected and analyzed.
RESULTS: It was determined that 64.4% of the 250 patients examined were women. 40.8% of the patients belong to the pre-pandemic period and 59.2% belong to the post-pandemic period. It was determined that 51.6% of the patients who underwent kyphoplasty/vertebroplasty had fractures due to reasons other than trauma. Of the 101 patients diagnosed with osteoporosis, 31.6% belong to the pre-pandemic period and 68.4% belong to the post-pandemic period. 48.9% of patients receiving treatment belong to the post-pandemic period.
CONCLUSIONS: This study reveals that vertebral fractures have increased and access to treatment has decreased in patients diagnosed with osteoporosis during the COVID-19 pandemic. Lack of activity and limited access to treatment during the epidemic lead to an increase in osteoporosis-related vertebral fractures. As a result, it has been observed that the number of people diagnosed with osteoporosis increased during the pandemic period leading to a rise in kyphoplasty rates due to resulting fractures.

Anahtar Kelimeler

Covid-19, Osteoporosis, Spinal fractures.

Kaynakça

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