Fatty Degeneration of the Autochthonous Muscles Is Significantly Associated with Incidental Non-Traumatic Vertebral Body Fractures of the Lower Thoracic Spine in Elderly Patients
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients and Imaging
2.2. Image Analysis
2.3. Statistics
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Vertebral body fractures | Genant Score:
|
Fatty degeneration of the autochthonous back muscles | Goutallier score 0–4:
|
Asymmetry of the autochthonous back muscles |
|
Facet joint arthrosis |
|
Facet joint asymmetry |
|
Intervertebral osteochondrosis |
|
Spondylolisthesis | Meyerding classification:
|
Scoliosis |
|
Criteria | Study Patients (n = 105; Mean Age = 68.7 Years) |
---|---|
% | |
Vertebral body fractures | 23.8 |
At least one thoracic vertebral body fracture | 16.2 |
At least one lumbar vertebral body fracture | 19 |
Fatty depositions of the autochthonous muscles at least Goutallier 1 | 80.9 |
Fatty depositions of the autochthonous muscles at least Goutallier 2 | 24.7 |
Asymmetry of the autochthonous muscles | 37.1 |
At least moderate osteochondrosis of the lower thoracic spine | 64.7 |
At least moderate osteochondrosis of the lumbar spine | 68.5 |
At least moderate spondylarthrosis of the lower thoracic spine | 31.4 |
At least moderate spondylarthrosis of the lumbar spine | 80 |
At least mild facet joint anisotropy of the lower thoracic spine | 13.3 |
At least mild facet joint anisotropy of the lumbar spine | 65.7 |
At least moderate facet joint anisotropy of the lumbar spine | 18 |
Spondylolisthesis of the lumbar spine | 9.5 |
Spondylolysis of the lumbar spine | 4.7 |
Short vertebral height deformity | 2.8 |
Schmorl nodes of the lower thoracic spine | 52.3 |
Schmorl nodes of the lumbar spine | 35.2 |
Scoliosis | 20.9 |
Thoracic Vertebral Body Fracture | Lumbar Vertebral Body Fracture | |||
---|---|---|---|---|
Risk Factor | Relative Risk (RR) | p-Value | Relative Risk (RR) | p-Value |
Osteochondrosis thoracic spine | 0.94 | 0.314 | 0.94 | 0.327 |
Osteochondrosis lumbar spine | 0.96 | 0.375 | 0.69 | 0.76 |
Spondylarthrosis thoracic spine | 0.83 | 0.067 | 0.88 | 0.343 |
Spondylarthrosis lumbar spine | 1.04 | 0.431 | 0.46 | 0.527 |
Fatty degeneration autochthonous muscle thoracic and lumbar spine | 4.92 | 0.005 | 2.04 | 0.157 |
Asymmetry autochthonous muscle thoracic and lumbar spine | 1.54 | 0.439 | 0.732 | 0.444 |
Spondylolysis lumbar spine | 0.93 | 0.268 | 0.93 | 0.271 |
Spondylolisthesis lumbar spine | 0.55 | 0.576 | 0.88 | 0.109 |
Facet joint anisotropy thoracic spine | 2.44 | 0.197 | 2.82 | 0.09 |
Facet joint anisotropy lumbar spine | 0.95 | 0.18 | 0.96 | 0.589 |
Short vertebral height thoracic spine | 1.92 | 0.232 | 0.82 | 0.310 |
Short vertebral height, lumbar spine | 1.35 | 0.576 | 0.73 | 0.394 |
Schmorl nodes thoracic spine | 1.92 | 0.232 | 1.35 | 0.576 |
Schmorl nodes lumbar spine | 1.54 | 0.394 | 1.67 | 0.31 |
Scoliosis | 0.93 | 0.907 | 1.19 | 0.775 |
Thoracic Vertebral Body Fracture | Lumbar Vertebral Body Fracture | |||
---|---|---|---|---|
Risk Factor | Correlation (R) | p-Value | Correlation (R) | p-Value |
Osteochondrosis thoracic spine | 0.02 | 0.848 | −0.08 | 0.43 |
Osteochondrosis lumbar spine | −0.04 | 0.718 | 0.05 | 0.625 |
Spondylarthrosis thoracic spine | 0.16 | 0.104 | 0.11 | 0.257 |
Spondylarthrosis lumbar spine | 0.12 | 0.223 | 0.03 | 0.767 |
Fatty degeneration autochthonous muscle thoracic and lumbar spine | 0.34 | <0.001 | 0.18 | 0.066 |
Asymmetry autochthonous muscle thoracic and lumbar spine | 0.15 | 0.130 | 0.16 | 0.124 |
Facet joint anisotropy thoracic spine | 0.14 | 0.162 | -0.08 | 0.397 |
Facet joint anisotropy lumbar spine | 0.16 | 0.107 | -0.07 | 0.471 |
Scoliosis | 0.068 | 0.49 | -0.015 | 0.883 |
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Backhauß, J.-C.; Jansen, O.; Kauczor, H.-U.; Sedaghat, S. Fatty Degeneration of the Autochthonous Muscles Is Significantly Associated with Incidental Non-Traumatic Vertebral Body Fractures of the Lower Thoracic Spine in Elderly Patients. J. Clin. Med. 2023, 12, 4565. https://doi.org/10.3390/jcm12144565
Backhauß J-C, Jansen O, Kauczor H-U, Sedaghat S. Fatty Degeneration of the Autochthonous Muscles Is Significantly Associated with Incidental Non-Traumatic Vertebral Body Fractures of the Lower Thoracic Spine in Elderly Patients. Journal of Clinical Medicine. 2023; 12(14):4565. https://doi.org/10.3390/jcm12144565
Chicago/Turabian StyleBackhauß, Jan-Christoph, Olav Jansen, Hans-Ulrich Kauczor, and Sam Sedaghat. 2023. "Fatty Degeneration of the Autochthonous Muscles Is Significantly Associated with Incidental Non-Traumatic Vertebral Body Fractures of the Lower Thoracic Spine in Elderly Patients" Journal of Clinical Medicine 12, no. 14: 4565. https://doi.org/10.3390/jcm12144565