Patients with abnormal microarchitecture have an increased risk of early complications after spinal fusion surgery.
Analysis quantitation of bone
Bone QCT/μCT
DXA
Diseases of disorders related to bone
Orthopaedics
Journal
Bone
ISSN: 1873-2763
Titre abrégé: Bone
Pays: United States
ID NLM: 8504048
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
07
09
2020
revised:
29
10
2020
accepted:
30
10
2020
pubmed:
7
11
2020
medline:
22
6
2021
entrez:
6
11
2020
Statut:
ppublish
Résumé
Spine fusion is one of the most common orthopedic surgeries, with more than 400,000 cases performed annually. While these procedures correct debilitating pain and deformities, complications occur in up to 45%. As successful fusion rests upon early stability of hardware in bone, patients with structural skeletal deficits may be at particular risk for complications. Few studies have investigated this relationship, and none have used higher order imaging to evaluate microstructural mechanisms for complications. Standard DXA measurements are subject to artifact in patients with spinal disease and therefore provide limited information. The goal of this prospective study was to investigate pre-operative bone quality as a risk factor for early post-operative complications using high resolution peripheral QCT (HR-pQCT) measurements of volumetric BMD (vBMD) and microarchitecture. We hypothesized that patients with low vBMD and abnormal microarchitecture at baseline would have more skeletal complications post-operatively. Conversely, we hypothesized that pre-operative DXA measurements would not be predictive of complications. Fifty-four subjects (mean age 63 years, BMI 27 kg/m
Identifiants
pubmed: 33157283
pii: S8756-3282(20)30519-6
doi: 10.1016/j.bone.2020.115731
pmc: PMC9518007
mid: NIHMS1707992
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
115731Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR002384
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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