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Clinical correlation between osteoporotic thoracolumbar vertebral compression fractures and lumbar spondylolisthesis.
- Source :
-
International orthopaedics [Int Orthop] 2022 May; Vol. 46 (5), pp. 1095-1100. Date of Electronic Publication: 2022 Feb 02. - Publication Year :
- 2022
-
Abstract
- Purpose: This study was to explore the clinical correlation between osteoporosis thoracolumbar vertebral compression fracture (thoracolumbar OVCF) and lumbar spondylolisthesis (LS).<br />Methods: In total, 208 patients with thoracolumbar OVCF (fracture group) and 250 elderly patients with osteoporosis (non-fracture group) were retrospectively analyzed. The incidence of LS was compared between the two groups. At the same time, 75 cases of elderly patients with osteoporosis were selected, including 25 patients with isthmic spondylolisthesis (IS group), 25 patients with degenerative spondylolisthesis (DS group), and 25 patients without LS (non-LS group). All patients underwent full-length spine anteroposterior and lateral X-ray, and the spinal pelvic imaging parameters were collected for comparison.<br />Results: The incidence of LS in the fracture group (10.1%, 21/208) was significantly higher than that in the non-fracture group (4.8%, 12/250); the difference was statistically significant (χ <superscript>2</superscript> = 4.763, P = 0.029). The incidence of trauma in the fracture group (51.0%, 106/208) was significantly higher than that in the non-fracture group (13.6%, 34/250); the difference was statistically significant (χ <superscript>2</superscript> = 74.673, P = 0.000). The LS (OR = 2.273, 95% CI = 1.030-5.017, P = 0.042) and trauma (OR = 6.622, 95% CI = 4.203-10.432, P = 0.000) were independently associated with thoracolumbar OVCF. There were significant differences in pelvic incidence (PI), sacral slope (SS), lumbar lordosis (LL), thoracolumbar kyphosis (TLK), and thoracic kyphosis (TK) among the IS, DS, and non-LS groups (P < 0.05). Among them, PI, SS, LL, TLK, and TK of the IS group and the DS group were significantly higher than those of the non-LS group (P < 0.05).<br />Conclusions: Patients with LS are more likely to suffer from OVCF in the future, and LS is one of the important risk factors for secondary OVCF.<br /> (© 2022. The Author(s) under exclusive licence to SICOT aisbl.)
- Subjects :
- Aged
Humans
Lumbar Vertebrae diagnostic imaging
Lumbar Vertebrae injuries
Retrospective Studies
Fractures, Compression complications
Fractures, Compression diagnostic imaging
Kyphosis complications
Kyphosis diagnostic imaging
Lordosis complications
Osteoporosis complications
Osteoporotic Fractures complications
Osteoporotic Fractures diagnostic imaging
Osteoporotic Fractures epidemiology
Spinal Fractures complications
Spinal Fractures diagnostic imaging
Spinal Fractures epidemiology
Spondylolisthesis complications
Spondylolisthesis diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1432-5195
- Volume :
- 46
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- International orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 35106669
- Full Text :
- https://doi.org/10.1007/s00264-022-05327-y