椎体松质骨CT值联合骨密度值比率对新鲜与陈旧骨质疏松性椎体压缩骨折的鉴别诊断价值

doi:10.3969/j.issn.1671-7171.2024.06.017

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1311 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】 To explore the differential diagnostic value of the ratio of vertebral cancellous bone CT value combined with bone density of in fresh and old osteoporotic vertebral compression fractures. 【Methods】A total of 82 patients with osteoporotic vertebral compression fractures(82 vertebrae in total) who were treated at Yulin Hospital of Traditional Chinese Medicine from January 2019 to January 2022 were divided into fresh fractures(observation group) based on the results of magnetic resonance imaging(MRI) examination, n=50) and old fractures(control group, n=32), The CT values and bone density ratio of two groups of vertebral cancellous bone were compared; Logistic multiple factor analysis was used to investigate the influencing factors of fresh osteoporotic vertebral compression fractures; The diagnostic efficacy of CT values and bone density ratio of vertebral cancellous bone for fresh and old fractured vertebrae was analyzed using receiver operating characteristic(ROC) curves. 【Results】The CT value of vertebral cancellous bone in the observation group was higher than that in the control group(P<0.05), and the bone density ratio was lower than that in the control group(P<0.05). The results of logistic multivariate analysis showed that CT values and bone density ratio of vertebral cancellous bone were both influencing factors for fresh osteoporotic vertebral compression fractures(P<0.05). The AUC of fresh and old fractured vertebrae was 0.654 and 0.703, respectively, in the differential diagnosis of vertebral cancellous bone CT value and bone density ratio. The AUC of combined differential diagnosis of fresh and old fractured vertebrae was 0.856. 【Conclusion】The CT value and bone density ratio of vertebral cancellous bone have certain differential value for fresh and old fractured vertebrae, and their combined differential diagnosis has higher value for fresh and old fractured vertebrae.

Key words： Osteoporosis/CO Spinal Fractures/ET Spinal Fractures/DI Tomography, Spiral Computed

Received: 10 July 2023

PACS:

R683

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	GAO Zengxia
	GAO Wenzhi

Cite this article:

GAO Zengxia,GAO Wenzhi. Differential Diagnostic Value of the Ratio of Vertebral Cancellous Bone CT Value Combined with Bone Density Value in Fresh and Old Osteoporotic Vertebral Compression Fractures[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(6): 861-863.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.06.017 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I6/861

[1] CHEN Z, SONG C Y, LIN H L, et al. Does prophylactic vertebral augmentation reduce the refracture rate in osteoporotic vertebral fracture patients: a meta-analysis[J].Eur Spine J,2021, 30(9):2691-2697.
[2] XIE L L, YU H, YUAN X, et al. A review of the zoledronic acid combined with percutaneous vertebroplasty in the osteoporotic vertebral compression fracture[J].Asian J Surg,2023, 46(1):642-644.
[3] 来卫忠,张红霞,秦晓峰,等. 椎体松质骨CT值测量在诊断骨质疏松中的应用价值分析[J].实用医技杂志,2021,28(6):772-774.
[4] 贺宝荣,郝定均.急性症状性骨质疏松性胸腰椎压缩骨折椎体强化术临床指南[J].中华创伤杂志, 2022, 38(5):14-18.
[5] 刘洪. 骨质疏松性椎体压缩骨折骨不连的X线平片和CT及MRI影像学表现[J].影像研究与医学应用,2021,5(14):5-6.
[6] 叶东亮,程世德,范高洁,等. MRI STIR黑色线性信号、腰椎椎体CT值及骨密度值与老年骨质疏松性椎体压缩骨折发生风险的相关性研究[J].颈腰痛杂志,2022,43(4):563-565.
[7] 印平,马远征,马迅,等.骨质疏松性椎体压缩性骨折的治疗指南[J].中国骨质疏松杂志, 2015,65(6):643-648.
[8] PARK J S, PARK Y S. Survival analysis and risk factors of new vertebral fracture after vertebroplasty for osteoporotic vertebral compression fracture[J].Spine J,2021, 21(8):1355-1361.
[9] CHENG J J,MUHEREMU A, ZENG X M, et al. Percutaneous vertebroplasty vs balloon kyphoplasty in the treatment of newly onset osteoporotic vertebral compression fractures: a retrospective cohort study[J].Medicine(Baltimore),2019,98(10):14793.
[10] 冯宁宁,姜国正,俞兴,等. 椎体CT值鉴别新鲜与陈旧骨质疏松性椎体压缩骨折的可行性[J].中国组织工程研究,2023,27(18):2892-2896.
[11] 张宪臣,张付龙,高荣基. 能谱CT对骨质疏松性椎体压缩骨折的诊断价值[J].实用放射学杂志,2023,39(3):446-449.
[12] 郑朝阳,叶德湫,黄永础. MRI联合骨密度检测诊断新鲜骨质疏松性椎体压缩骨折的价值分析[J].福建医药杂志,2018,40(5):95-97.
[13] 方金平,刘飞斌,李冬冬,等. CT改良骨窗在急性隐匿性骨质疏松性椎体压缩骨折诊断中的应用价值[J].中医正骨,2021,33(10):52-55.
[14] 李永博,武汉,韩硕,等. SPECT-CT与MRI对确定骨质疏松性椎体压缩骨折疼痛责任椎体的价值比较[J].中国脊柱脊髓杂志,2017,27(11):997-1003.
[15] 刘文课,蒋宏. MRI联合骨密度检测诊断新鲜骨质疏松性椎体压缩骨折的价值分析[J].医学美学美容,2021,30(15):128-129.
[16] 李凯明,朱立国,张清,等. 唑来膦酸联合椎体后凸成形治疗骨质疏松性压缩骨折:提高骨密度、预防椎体再骨折、远期疗效评价的Meta分析[J].中国组织工程研究,2020,24(24):3911-3917.