Integrating Muscle Health in Predicting the Risk of Asymptomatic Vertebral Fracture in Older Adults

Lin, Yu‐Ching; Juan, Yu-Hsiang; Chan, Wing P.; Yeh, Kun‐Yun; Wong, Alex Mun-Ching; Sung, Chang‐Mu; Lin, Yu‐Jr; Chang, Shu‐Chen; Chen, Fangping

doi:10.3390/jcm10051129

Cited by 2 publications

(2 citation statements)

References 37 publications

(10 reference statements)

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“…There are several reports about the risk factors of asymptomatic VFs. However, only a few studies have examined the association between asymptomatic VF and muscle mass, muscle strength, fat mass, and spinal alignment [27,28]. The current study showed that asymptomatic VFs were associated with BMI, BF%, knee pain VAS score, KOA, and painDETECT score in the univariate analysis.…”

Section: Discussionsupporting

confidence: 45%

Obesity Is Associated with Asymptomatic Vertebral Fractures: A Yakumo Study

Miyairi,

Nakashima,

Ito

et al. 2024

JCM

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(1) Background: Patients with primary vertebral fracture (VF) are at high risk of re-fracture and mortality. However, approximately two-thirds of patients with VFs receive minimal clinical attention. (2) Methods: The current study aimed to investigate the factors associated with asymptomatic VFs in middle-aged and elderly individuals who underwent resident health examinations. (3) Results: The current study included 217 participants aged > 50 years. VFs were diagnosed based on lateral radiographic images using Genant’s semiquantitative (SQ) method. The participants were divided into non-VF (N; SQ grade 0) and asymptomatic VF (F; SQ grades 1–3) groups. Data on body composition, blood tests, quality of life measures, and radiographic parameters were assessed. A total of 195 participants were included in the N group (mean age, 64.8 ± 7.8 years), and 22 were in the F group (mean age, 66.1 ± 7.9 years). The F group had a significantly higher body mass index (BMI), body fat percentage (BF%), and proportion of patients with knee osteoarthritis (KOA) than the N group. The F group had a significantly higher knee joint pain visual analog scale (VAS) score and painDETECT score than the N group. Logistic regression analysis showed that BF% was associated with asymptomatic VFs. (4) Conclusions: Middle-aged and elderly individuals with asymptomatic VF presented with high BMIs, BF%, and incidence of KOA.

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Section: Discussionsupporting

confidence: 45%

Obesity Is Associated with Asymptomatic Vertebral Fractures: A Yakumo Study

Miyairi,

Nakashima,

Ito

et al. 2024

JCM

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“…Population studies have shown that the annual incidence of VCFs is 10.7 per 1000 women and 5.7 per 1000 men[ 38 ]. Dr. Lin surveyed the VCF in another study with 600 patients, which enrolled 186 men and 404 women[ 39 ]. The ratio of men and women was similar to that in our study, including each treatment subgroup.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study

Yeh¹,

Wu²,

Liaw³

et al. 2021

WJCC

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BACKGROUND Osteoporosis with vertebral compression fractures is increasingly common in the elderly population. Cement augmentation is one of the effective surgical treatments for these patients. Currently, there are several different types of cement augmentation treatments. No studies have compared the safety and efficacy of different cement augmentation types for the treatment of such fractures; thus, we retrospectively compared vertebroplasty, balloon kyphoplasty, and kyphoplasty with SpineJack or an intravertebral expandable pillar. AIM To compare the postoperative safety and efficacy of each surgical intervention in treating vertebral compression fractures. METHODS We retrospectively analyzed 354 patients with acute vertebral compression fractures, defined as signal changes in the T1 weighted magnetic resonance imaging, and randomly divided the patients into five groups. Their visual analog scale scores for pain, kyphotic angle, average body height, rate of cement leakage, and occurrence of adjacent vertebral compression fractures were followed for 1 year. One-way analysis of variance, the post hoc Bonferroni test, and Fisher exact probability test were used for statistical analyses. RESULTS All pain scores significantly improved 12 mo postoperatively; however, there was no significant difference between the groups ( P = 0.325). Kyphoplasty with SpineJack significantly reduced the kyphotic angle ( P = 0.028) and restored the height of the vertebral body ( P = 0.02). The rate of adjacent compression fractures was the highest in the vertebroplasty group, with a statistically significant difference according to the Fisher exact probability test ( P = 0.02). The treatment with the lowest cement leakage rate cannot be identified because of the small sample size; however, kyphoplasty with SpineJack, an IVEP, and vesselplasty resulted in lower rates of cement leakage than balloon kyphoplasty and vertebroplasty. CONCLUSION Kyphoplasty with SpineJack has good outcomes in kyphotic angle reduction and body height restoration. Vertebroplasty has the highest cement leakage rate and adjacent compression fracture occurrence.

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Integrating Muscle Health in Predicting the Risk of Asymptomatic Vertebral Fracture in Older Adults

Cited by 2 publications

References 37 publications

Obesity Is Associated with Asymptomatic Vertebral Fractures: A Yakumo Study

Obesity Is Associated with Asymptomatic Vertebral Fractures: A Yakumo Study

Outcomes of different minimally invasive surgical treatments for vertebral compression fractures: An observational study

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