2021 Volume 33 Issue 1 Pages 1-6
Patients with osteoporosis often showed round back due to vertebral fractures and gastroesophageal reflux disease (Gerd) symptoms due to increase in abdominal pressure. We hypothesized that spinal sagittal malalignment in osteoporosis patients might be associated with Gerd symptoms, and then investigated the prevalence of Gerd symptoms or spinal sagittal malalignment and the relationship between them. 137 osteoporosis patients aged more than 60 years were included in the current study. We evaluated F-scale questionnaire for Gerd symptoms, and the spinal sagittal alignment and the number of vertebrae fractures by X-ray in a standing position. We calculated the prevalence of Gerd symptoms or spinal sagittal malalignment, and also elucidated the correlation between the scores for F scale and spinal sagittal alignment. Gerd symptoms were observed in 55 cases (40.1%), and sagittal malalignment was observed in 113 cases (82.4%). The prevalence of Gerd symptoms in patients with spinal malalignment (44.2%) was significantly higher than that in patients without spinal malalignment (20.8%). However, we could not detect any correlations between F scale and spinal sagittal alignment. These findings indicated there were many osteoporosis patients with Gerd symptoms or spinal sagittal malalignment. Spinal sagittal malalignment in osteoporosis patients might affect the incidence of Gerd symptoms.