在患有结性脊柱炎或扩散性异常性骨超静止症的患者中,通过霍恩斯菲尔德单位测量骨密度的显著减少
Alexander Swart1, Abdelrahman Hamouda1, Zach Pennington1
1Department of Neurologic Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA.
Journal of clinical medicine
|April 9, 2024
概括
在结性脊柱炎 (AS) 和扩散性异常性骨超静止症 (DISH) 中,多分片自融合因应应力屏蔽而降低结的脊柱段的骨密度,可能增加骨折风险.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 类风湿病学 类风湿病学
背景情况:
- 在结性脊柱炎 (AS) 和扩散性异常骨架超静止症 (DISH) 中观察到多段性病态自融合.
- 这种融合可能会通过应力屏蔽机制损害脊椎骨密度.
研究的目的:
- 为了研究脊柱自融合对脊椎骨密度的影响.
- 在AS和DISH患者中,量化骨密度变化移动与融合脊柱段的变化.
主要方法:
- 霍恩斯菲尔德单位 (HU) 测量了五个脊椎区域:头骨相邻移动,头骨合,中合,尾部合和尾部相邻移动部分.
- 配对样本t测试比较了不同地区的HU平均值.
- 多变量回归确定了中间融合段 HUs. 的预测因素.
主要成果:
- 中部融合部分与骨融合 (174),尾部融合 (108),骨相邻移动 (195),尾部相邻移动 (115) 部分相比,呈现明显较低的平均HU (100) (p <0.001对所有).
- 吸烟史是减少中融合段HU的独立预测因素 (-30 HU,p = 0.009).
结论:
- 长段自融合的中间部分显著减少的HU表明应力屏蔽.
- 压力屏蔽可能会降低AS/DISH患者的脊椎骨完整性,可能会增加骨折风险.
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