Using QCT for the prediction of spontaneous age- and gender-specific thoracolumbar vertebral fractures and accompanying distant vertebral fractures

Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures. Me...

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Published inBMC musculoskeletal disorders Vol. 25; no. 1; pp. 828 - 8
Main Authors Shen, Yuwen, Shi, Yiqiu, Gu, Xinru, Xie, Ping, Zhang, Lianwei, Wu, Linhe, Yang, Sitong, Ren, Wen, Liu, Kefu
Format Journal Article
LanguageEnglish
Published London BioMed Central 19.10.2024
BioMed Central Ltd
BMC
Subjects
Adult
Age
Age Factors
Aged
Aged, 80 and over
Analysis
Bone Density
Bone mineral density
Bones
Computed tomography
CT imaging
Density
Epidemiology
Female
Females
Fractures
Fractures, Spontaneous - diagnostic imaging
Fractures, Spontaneous - epidemiology
Fractures, Spontaneous - etiology
Gender
Gender differences
Humans
Internal Medicine
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - injuries
Male
Males
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Predictive Value of Tests
Quantitative computed tomography
Rehabilitation
Retrospective Studies
Rheumatology
Sex Factors
Spinal Fractures - diagnostic imaging
Spinal Fractures - epidemiology
Spine
Spontaneous thoracolumbar vertebral fractures
Sports Medicine
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - injuries
Threshold value
Tomography, X-Ray Computed
Trauma
Vertebrae
Women
China
Spontaneous thoracolumbar vertebral fractures
Threshold value
Bone mineral density
Gender
Quantitative computed tomography
Age
Online AccessGet full text
ISSN1471-2474
1471-2474
DOI10.1186/s12891-024-07961-6

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Abstract Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures. Methods Among the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves. Results The threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm 3 for all subjects, 90.1 mg/cm 3 for men, and 88.6 mg/cm 3 for women. The threshold values for men aged < 60 years old and ≥ 60 years old were 117.4 mg/cm 3 and 87.5 mg/cm 3 , respectively. The threshold values for women aged < 60 years old and ≥ 60 years old were 88.6 and 68.4 mg/cm 3 , respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm 3 . Conclusions QCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.
AbstractList To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures. Among the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves. The threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm for all subjects, 90.1 mg/cm for men, and 88.6 mg/cm for women. The threshold values for men aged < 60 years old and ≥ 60 years old were 117.4 mg/cm and 87.5 mg/cm , respectively. The threshold values for women aged < 60 years old and ≥ 60 years old were 88.6 and 68.4 mg/cm , respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm . QCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.
PurposeTo investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures.MethodsAmong the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves.ResultsThe threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm3 for all subjects, 90.1 mg/cm3 for men, and 88.6 mg/cm3 for women. The threshold values for men aged < 60 years old and ≥ 60 years old were 117.4 mg/cm3 and 87.5 mg/cm3, respectively. The threshold values for women aged < 60 years old and ≥ 60 years old were 88.6 and 68.4 mg/cm3, respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm3.ConclusionsQCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.
To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures. Among the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves. The threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm.sup.3 for all subjects, 90.1 mg/cm.sup.3 for men, and 88.6 mg/cm.sup.3 for women. The threshold values for men aged < 60 years old and [greater than or equal to] 60 years old were 117.4 mg/cm.sup.3 and 87.5 mg/cm.sup.3, respectively. The threshold values for women aged < 60 years old and [greater than or equal to] 60 years old were 88.6 and 68.4 mg/cm.sup.3, respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm.sup.3. QCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.
Abstract Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures. Methods Among the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves. Results The threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm3 for all subjects, 90.1 mg/cm3 for men, and 88.6 mg/cm3 for women. The threshold values for men aged < 60 years old and ≥ 60 years old were 117.4 mg/cm3 and 87.5 mg/cm3, respectively. The threshold values for women aged < 60 years old and ≥ 60 years old were 88.6 and 68.4 mg/cm3, respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm3. Conclusions QCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.
To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures.PURPOSETo investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures.Among the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves.METHODSAmong the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves.The threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm3 for all subjects, 90.1 mg/cm3 for men, and 88.6 mg/cm3 for women. The threshold values for men aged < 60 years old and ≥ 60 years old were 117.4 mg/cm3 and 87.5 mg/cm3, respectively. The threshold values for women aged < 60 years old and ≥ 60 years old were 88.6 and 68.4 mg/cm3, respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm3.RESULTSThe threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm3 for all subjects, 90.1 mg/cm3 for men, and 88.6 mg/cm3 for women. The threshold values for men aged < 60 years old and ≥ 60 years old were 117.4 mg/cm3 and 87.5 mg/cm3, respectively. The threshold values for women aged < 60 years old and ≥ 60 years old were 88.6 and 68.4 mg/cm3, respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm3.QCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.CONCLUSIONSQCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.
Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures. Methods Among the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves. Results The threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm.sup.3 for all subjects, 90.1 mg/cm.sup.3 for men, and 88.6 mg/cm.sup.3 for women. The threshold values for men aged < 60 years old and [greater than or equal to] 60 years old were 117.4 mg/cm.sup.3 and 87.5 mg/cm.sup.3, respectively. The threshold values for women aged < 60 years old and [greater than or equal to] 60 years old were 88.6 and 68.4 mg/cm.sup.3, respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm.sup.3. Conclusions QCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures. Keywords: Quantitative computed tomography, Bone mineral density, Spontaneous thoracolumbar vertebral fractures, Threshold value, Age, Gender
Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the prediction of spontaneous thoracolumbar vertebral fractures and thoracolumbar junction fractures accompanying distant vertebral fractures. Methods Among the 556 patients included, 68 patients had thoracolumbar vertebral fractures (12 patients with distant vertebral fractures, 56 patients without distant vertebral fractures) and 488 patients had no vertebral fractures. All patients were grouped by gender and age. According to the principle of Youden index, the threshold values were calculated from receiver operating characteristic (ROC) curves. Results The threshold values for predicting thoracolumbar vertebral fractures were 89.8 mg/cm 3 for all subjects, 90.1 mg/cm 3 for men, and 88.6 mg/cm 3 for women. The threshold values for men aged < 60 years old and ≥ 60 years old were 117.4 mg/cm 3 and 87.5 mg/cm 3 , respectively. The threshold values for women aged < 60 years old and ≥ 60 years old were 88.6 and 68.4 mg/cm 3 , respectively. The threshold value for predicting spontaneous thoracolumbar junction fractures with distant vertebral fractures was 62.7 mg/cm 3 . Conclusions QCT provides a good ability to predict age- and gender-specific spontaneous thoracolumbar vertebral fractures, and to further predict spontaneous thoracolumbar junction fractures with distant vertebral fractures.
ArticleNumber 828
Audience Academic
Author Yang, Sitong
Wu, Linhe
Liu, Kefu
Shen, Yuwen
Gu, Xinru
Ren, Wen
Shi, Yiqiu
Xie, Ping
Zhang, Lianwei
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CitedBy_id crossref_primary_10_1016_j_aanat_2025_152376
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Issue 1
Keywords Spontaneous thoracolumbar vertebral fractures
Threshold value
Bone mineral density
Gender
Quantitative computed tomography
Age
Language English
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Snippet Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the...
To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the...
Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the...
PurposeTo investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT) for the...
Abstract Purpose To investigate the value and age- and gender-specific threshold values of bone mineral density (BMD) by quantitative computed tomography (QCT)...
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SubjectTerms Adult
Age
Age Factors
Aged
Aged, 80 and over
Analysis
Bone Density
Bone mineral density
Bones
Computed tomography
CT imaging
Density
Epidemiology
Female
Females
Fractures
Fractures, Spontaneous - diagnostic imaging
Fractures, Spontaneous - epidemiology
Fractures, Spontaneous - etiology
Gender
Gender differences
Humans
Internal Medicine
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - injuries
Male
Males
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Predictive Value of Tests
Quantitative computed tomography
Rehabilitation
Retrospective Studies
Rheumatology
Sex Factors
Spinal Fractures - diagnostic imaging
Spinal Fractures - epidemiology
Spine
Spontaneous thoracolumbar vertebral fractures
Sports Medicine
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - injuries
Threshold value
Tomography, X-Ray Computed
Trauma
Vertebrae
Women
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Title Using QCT for the prediction of spontaneous age- and gender-specific thoracolumbar vertebral fractures and accompanying distant vertebral fractures
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