Bone density in myelomeningocele: the effects of ambulatory status and other factors / Byron D. ROSENSTEIN in Developmental Medicine & Child Neurology, 29-4 (August 1987)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 29-4 (August 1987) . - p.486-494 Titre : Bone density in myelomeningocele: the effects of ambulatory status and other factors Type de document : Texte imprimé et/ou numérique Auteurs : Byron D. ROSENSTEIN, Auteur ; Walter B. GREENE, Auteur ; Robert T. HERRINGTON, Auteur ; Andrew S. BLUM, Auteur Année de publication : 1987 Article en page(s) : p.486-494 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Measurements were made of distal radius, mid-radius, tibia and metatarsal bone-density of 80 patients with myelomeningocele (17 thoracic, six L1/L2, 13 L3, 30 L4, 14 L5/sacral). For the upper extremity the bone density primarily was low in the thoracic patients, but in the tibia and metatarsal it showed a more linear correlation with neurological levels. The effect of age was highly significant at all sites; after controlling for this, the neurological level was a significant determinant of bone density at all sites, and this effect was greater in older children. Patients with impaired ambulation had decreased bone-density in the distal radius, tibia and metatarsal, but not in the mid-radius. Race had no significant effect on density after accounting for differences in neurological level. Weight for height and multiple fractures did not correlate with bone density. Although ambulatory status (weight-bearing stresses) and neurological status (muscle stresses) are both important factors in bone density, this study suggests that the latter is a more important determinant. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=627 [article] Bone density in myelomeningocele: the effects of ambulatory status and other factors [Texte imprimé et/ou numérique] / Byron D. ROSENSTEIN, Auteur ; Walter B. GREENE, Auteur ; Robert T. HERRINGTON, Auteur ; Andrew S. BLUM, Auteur . - 1987 . - p.486-494. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 29-4 (August 1987) . - p.486-494 Index. décimale : PER Périodiques Résumé : Measurements were made of distal radius, mid-radius, tibia and metatarsal bone-density of 80 patients with myelomeningocele (17 thoracic, six L1/L2, 13 L3, 30 L4, 14 L5/sacral). For the upper extremity the bone density primarily was low in the thoracic patients, but in the tibia and metatarsal it showed a more linear correlation with neurological levels. The effect of age was highly significant at all sites; after controlling for this, the neurological level was a significant determinant of bone density at all sites, and this effect was greater in older children. Patients with impaired ambulation had decreased bone-density in the distal radius, tibia and metatarsal, but not in the mid-radius. Race had no significant effect on density after accounting for differences in neurological level. Weight for height and multiple fractures did not correlate with bone density. Although ambulatory status (weight-bearing stresses) and neurological status (muscle stresses) are both important factors in bone density, this study suggests that the latter is a more important determinant. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=627

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