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Keywords:
Musculoskeletal bone, Musculoskeletal spine, Digital radiography, Screening, Metabolic disorders, Trauma
Authors:
N.-E. Regnard1, F. Duarte2, E. CORMIER1, A. Buisson1, J. L. Drape1, A. Feydy1; 1Paris/FR, 2São Paulo/BR
DOI:
10.1594/ecr2017/C-2805
Results
41 patients were included: 39 women (95.1%) and 2 men (4.9%).
Average age was 68 (+/- 9).
Average height was 159 cm (+/- 6.6).
Average weight was 60.7 kg (+/- 14).
Average Body Mass Index was 23.97 kg/m2 (+/- 5.1).
Average decrease in size was 4.17 cm (+/- 2.44).
Average Bone Mineral Density (BMD) in Lumbar Spine was 0.791 g/cm2 (+/- 0.22) i.e average T-score of -2.34 (+/-1.69).
Average femoral neck BMD was 0.633 g/cm2 (+/- 0.10) i.e average T-score of -2.28 (+/- 0.93).
10 patients (24.4%) had vertebral fractures.
Each patient with fracture had approximately 1.8 fractures.
There were 7 dorsal fractures (38.9%) and 11 lumbar fractures (61.1%).
The grade of fractures were Genant 1 in 50%,
Genant 2 in 27.8% and Genant 3 in 22.2% of the fractures.
The fractures were anterior in 55.6% and biconcave in 44.4%.
Inter-rater agreement (kappa) for assessment of vertebral fractures was 0.91 (+/- 0.06).
Inter-rater agreement (kappa) for assessment of Genant grade was 0.545 (+/- 0.15).
Intraclass correlation coefficients for parameters of sagittal balance using posture assessment workflow were between 0.85 and 0.99.
No statistically significant difference was found in clinical,
densitometric and parameters of sagittal balance between the both groups (patients with and without fractures).