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Updated: May 19, 2026

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
Published on: January 29, 2018
Morphological changes of lumbar vertebral bodies and intervertebral discs associated with decrease in bone mineral
Anthony W L Kwok1, Yi-Xiang J Wang, James F Griffith
1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China.
Osteoporosis in the elderly is linked to reduced lumbar vertebral and disc volumes. Lower bone mineral density (BMD) causes vertebrae to shrink and discs to change shape, impacting spinal health.
Area of Science:
- Gerontology
- Radiology
- Orthopedics
Background:
- Osteoporosis significantly impacts the elderly, affecting quality of life.
- The precise influence of osteopenia and osteoporosis on vertebral and intervertebral disc morphology requires further investigation.
Purpose of the Study:
- To investigate morphological changes in lumbar vertebrae and intervertebral discs associated with spinal osteoporosis in elderly individuals.
Main Methods:
- A cross-sectional study of 395 community-dwelling adults (67-89 years).
- Lumbar bone mineral density (BMD) measured via dual-energy x-ray absorptiometry.
- T2-weighted MRI used to measure dimensions of lumbar vertebrae (L1-L5) and intervertebral discs (T12-L1 to L5-S1).
Main Results:
- Lower BMD correlated with decreased anterior, middle, and posterior heights of vertebral bodies, increasing biconcavity.
- Lower BMD associated with decreased disc anterior height and posterior height, and anterior-posterior dimension, with increased middle height.
- Overall decrease in both vertebral and disc volumes observed with lower BMD, alongside an increased disc biconvexity index.
Conclusions:
- Reduced bone mineral density (BMD) is associated with a trend of decreasing lumbar vertebral and intervertebral disc volumes in the elderly.
- An increase in the middle height of intervertebral discs was noted in conjunction with lower BMD.
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