The Association between the Bone Mineral Density and Spinal Osteoarthritis in Osteoporotic Thoracolumbar Compression Fractures
Korean Journal of Bone Metabolism
; : 119-124, 2011.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-118734
Responsible library:
WPRO
ABSTRACT
OBJECTIVES:
The purpose of this study was to determine the association between the bone mineral density (BMD) and severity of spinal osteoarthritis (spondylosis) in osteoporotic spinal compression fracture.METHODS:
Fifty six patients were evaluated 66 cases had an osteoporotic thoracolumbar compression fracture between January 2008 and June 2010. The average patient age was 76.2 years (M/F 8/48). Age and body mass index (BMI, kg/m2) were measured, and the BMD was performed using peripheral quantitative computed tomography (pQCT). Simple thoracolumbar (T-L) spine lateral radiography was evaluated for three criteria presence of osteophytes, disc space narrowing and vertebral body sclerosis. The findings were graded 0 to 3 and analyzed statistically for a correlation with the BMD and fractured vertebrae.RESULTS:
Acute compression fractures comprised of 15 cases and the most common site of acute fractures with old fractures was lumbar spine (L1; 30 cases, 45.4%). The average of BMI was 23.32 and BMD (T-score) was -4.47. Pearson's rho showed a positive association between the weight, height and the BMD (P < 0.01). In terms of the BMD versus spondylosis, there was a positive association with high score in the high order cortical bone. Compression fractures occurrence rate in the absent and present of spondylosis was 74.3% and 22.4%, and 69% occur in the spinal segmental with no bony spur with chi-square test (P < 0.01).CONCLUSION:
In the present of spondylosis was high score of cortical BMD and low rate of compression fracture. Spondylosis could be one of a factor of the occurrence in acute and adjacent compression fracture after old fractures.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Sclerosis
/
Spine
/
Body Mass Index
/
Bone Density
/
Fractures, Compression
/
Osteophyte
/
Osteoarthritis, Spine
/
Spondylosis
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Bone Metabolism
Year:
2011
Document type:
Article