Osteoporotic Vertebral Fracture Prevalence in Elderly Chinese Men and Women: A Comparison of Endplate/Cortex Fracture-Based and Morphometrical Deformity-Based Methods
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AbstractThis study aims to evaluate endplate/cortex fracture (ECF)-based method for detecting osteoporotic vertebral fracture (VF) in elderly Chinese population (age ≥ 65 years). The radiographs of 1954 elderly Chinese men (mean: 72.3 years) and 1953 elderly Chinese women (mean: 72.5 years) were evaluated according to Genant's morphometrical vertebral deformity (VD) severity criteria, as well as identified VF according to ECF without necessary requirement of VD. According to ECF, grade-1, -2, and -3 VF prevalence was 1.89%, 1.74%, and 2.25% in men, and 3.33%, 3.07%, and 5.89% in women, respectively. In men and women, 15.7% (35 of 223) and 34.5% (48 of 139) of vertebrae with VD grade-1 deformity were ECF(+, with fracture), respectively. In men and women, 89.7% (35 of 39) and 66.7% (48 of 72) of vertebrae with ECF grade-1 fracture had VD grade-1 deformity. For grade-1 change, ECF(+) subjects tended to have a lower BMD than the VD(+) subjects. In subjects with VD grade-2 deformity, those who were also EC (+) tended to have a lower BMD than those were ECF(−). In all grades, VD(−) and ECF(−) subjects tended to have highest BMD, whereas VD(+) and ECF(+) subjects tended to have lowest BMD. ECF may be more specific for assessing mild VF than the criteria based on vertebral deformity.
Acceptance Date17/11/2017
All Author(s) ListMin Deng, Xian Jun Zeng, Lai-Chang He, Jason C.S. Leung, Anthony W.L. Kwok, James F. Griffith, Timothy Kwok, Ping Chung Leung, Yi Xiang J. Wang
Journal nameJournal of Clinical Densitometry
Year2019
Month7
Volume Number22
Issue Number3
PublisherElsevier
Place of PublicationUnited Kingdom
Pages409 - 419
ISSN1094-6950
LanguagesEnglish-United Kingdom
Keywordsbone mineral density, epidemiology, osteoporosis, prevalence, vertebral fractures

Last updated on 2020-14-07 at 01:21