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The effect of age, BMI, and bone mineral density on the various lumbar vertebral measurements in females

Canbek, Umut ; Rosberg, D. Burcu Hazer ; Rosberg, Hans Eric LU ; Canbek, Tuğba Dübektaş ; Akgün, Ulaş and Comert, Ayhan (2021) In Surgical and Radiologic Anatomy 43(1). p.101-108
Abstract

Purpose: Healthy spinal balance is dependent on spinal sagittal alignment. It is evaluated by several spinopelvic measures. The objective of this study is to investigate the effect of age and body mass index and the bone mineral density on the several vertebral measures and sagittal spinopelvic measurements. Methods: In this cross-sectional study, a total of 89 female patients were grouped according to age (> 70, < 70); to BMI (underweight (< 18.5 kg/m2), normal weight (18.5–25 kg/m2), overweight (25–30 kg/m2); and to spine T scores (normal, osteopenia, and osteoporosis). On lateral lumbar X-ray, lumbar lordosis (LL) angle and pelvic incidence (PI) are measured. On sagittal T2 MRI images,... (More)

Purpose: Healthy spinal balance is dependent on spinal sagittal alignment. It is evaluated by several spinopelvic measures. The objective of this study is to investigate the effect of age and body mass index and the bone mineral density on the several vertebral measures and sagittal spinopelvic measurements. Methods: In this cross-sectional study, a total of 89 female patients were grouped according to age (> 70, < 70); to BMI (underweight (< 18.5 kg/m2), normal weight (18.5–25 kg/m2), overweight (25–30 kg/m2); and to spine T scores (normal, osteopenia, and osteoporosis). On lateral lumbar X-ray, lumbar lordosis (LL) angle and pelvic incidence (PI) are measured. On sagittal T2 MRI images, anterior and posterior vertebral heights and foraminal height and area of the L1–L5 segments were measured. Results: The mean age of the participants was 70.54 ± 6.49. The distribution of the patients in BMI groups and BMD groups were even. Mean lumber lordosis (LL) was 48.27 ± 18.06, and the mean pelvic incidence (PI) was 60.20 ± 15.74. In the younger age group, LL was found to be higher than the older age group. The vertebral and spinopelvic angle measures within the different BMI and BMD groups revealed no difference in between. There were no statistically significant difference in correlation analysis. Conclusion: In this cross-sectional study, the results revealed that younger patients have higher lordosis angle, and normal BMD patients have higher foraminal height and area measures than osteoporotic and osteopenic patients. Obesity seemed not to have any influence on vertebral measures. Spinopelvic parameters seem not to be effected by BMD and BMI.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Age, Body mass index, Bone mineral density, Foraminal area, Foraminal height, Spinopelvic angle, Vertebral angle, Vertebral measures
in
Surgical and Radiologic Anatomy
volume
43
issue
1
pages
101 - 108
publisher
Springer
external identifiers
  • pmid:32876743
  • scopus:85090086628
ISSN
0930-1038
DOI
10.1007/s00276-020-02560-1
language
English
LU publication?
yes
id
3c910b8b-8b33-4eed-83c0-3c862b11c970
date added to LUP
2020-09-24 12:43:57
date last changed
2024-04-17 15:24:58
@article{3c910b8b-8b33-4eed-83c0-3c862b11c970,
  abstract     = {{<p>Purpose: Healthy spinal balance is dependent on spinal sagittal alignment. It is evaluated by several spinopelvic measures. The objective of this study is to investigate the effect of age and body mass index and the bone mineral density on the several vertebral measures and sagittal spinopelvic measurements. Methods: In this cross-sectional study, a total of 89 female patients were grouped according to age (&gt; 70, &lt; 70); to BMI (underweight (&lt; 18.5 kg/m<sup>2</sup>), normal weight (18.5–25 kg/m<sup>2</sup>), overweight (25–30 kg/m<sup>2</sup>); and to spine T scores (normal, osteopenia, and osteoporosis). On lateral lumbar X-ray, lumbar lordosis (LL) angle and pelvic incidence (PI) are measured. On sagittal T2 MRI images, anterior and posterior vertebral heights and foraminal height and area of the L1–L5 segments were measured. Results: The mean age of the participants was 70.54 ± 6.49. The distribution of the patients in BMI groups and BMD groups were even. Mean lumber lordosis (LL) was 48.27 ± 18.06, and the mean pelvic incidence (PI) was 60.20 ± 15.74. In the younger age group, LL was found to be higher than the older age group. The vertebral and spinopelvic angle measures within the different BMI and BMD groups revealed no difference in between. There were no statistically significant difference in correlation analysis. Conclusion: In this cross-sectional study, the results revealed that younger patients have higher lordosis angle, and normal BMD patients have higher foraminal height and area measures than osteoporotic and osteopenic patients. Obesity seemed not to have any influence on vertebral measures. Spinopelvic parameters seem not to be effected by BMD and BMI.</p>}},
  author       = {{Canbek, Umut and Rosberg, D. Burcu Hazer and Rosberg, Hans Eric and Canbek, Tuğba Dübektaş and Akgün, Ulaş and Comert, Ayhan}},
  issn         = {{0930-1038}},
  keywords     = {{Age; Body mass index; Bone mineral density; Foraminal area; Foraminal height; Spinopelvic angle; Vertebral angle; Vertebral measures}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{101--108}},
  publisher    = {{Springer}},
  series       = {{Surgical and Radiologic Anatomy}},
  title        = {{The effect of age, BMI, and bone mineral density on the various lumbar vertebral measurements in females}},
  url          = {{http://dx.doi.org/10.1007/s00276-020-02560-1}},
  doi          = {{10.1007/s00276-020-02560-1}},
  volume       = {{43}},
  year         = {{2021}},
}