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Bone mineral density status in women with limbus vertebra

Yıl 2018, , 469 - 474, 29.12.2018
https://doi.org/10.7197/223.vi.460813

Öz

Introduction:
Although genetics and cumulative mechanical stress on an immature skeleton have
been proposed to play a role in the development of the limbus vertebra (LV),
there is no data concerning the actual degree of bone strength and bone loss in
patients with LV.



Aim:
The aim of this study was to evaluate the bone mineral density (BMD) and the
prevalence of osteoporosis in women with LV and compare with age- and body mass
index-matched women.



Material
and Methods:
This study was carried out on 171
women (aged 40–49 years) with LV and 190 women without LV. Lumbar spine BMD
values were obtained by dual-energy X-ray absorptiometry.



Results:
A total of 361 patients were included in the study. The mean total BMD value
was significantly lower (0.876 ± 0.155 vs. 0.966 ± 0.187 g/cm2, p < 0.0001),
and the mean T-score value was significantly higher (-1.6 ± 1.41 vs. -0.8 ± 1.71,
p < 0.0001) in patients with LV. Although the frequency of both osteopenia
and osteoporosis were higher in patients with LV, the difference reached
statistical significance only for osteoporosis (p = 0.007).



Conclusion: Women with LV have lower BMD values and higher
osteoporosis rates than age- and BMI-matched controls; therefore, osteoporosis
should be evaluated in these patients.

Kaynakça

  • Scmorl G. Die pathologische Anatomie der Wirbelsaule. Verhandlungen der Deutschen Orthopadeschen Gesellschaft 1926; 21: 3-41.
  • Ghelman B and Freiberger RH. The limbus vertebra: an anterior disc herniation demonstrated by discography. AJR Am J Roentgenol 1976; 127: 854-5
  • Yagan R. CT diagnosis of limbus vertebra. J Comput Assist Tomogr 1984; 8: 149-51.
  • Acosta V, Pariente E, Lara M, Pini SF, Rueda-Gotor J. Limbus Vertebra and Chronic Low Back Pain. Journal of Family Medicine 2016; 3: 1048.
  • Koyama K, Nakazato K, Min S, et al. COL11A1 gene is associated with limbus vertebra in gymnasts. Int J Sports Med 2012; 33: 586-90
  • Bennett DL, Nassar L and DeLano MC. Lumbar spine MRI in the elite-level female gymnast with low back pain. Skeletal Radiol 2006; 35: 503-9. DOI: 10.1007/s00256-006-0083-7.
  • Hellstrom M, Jacobsson B, Sward L and Peterson L. Radiologic abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol 1990; 31: 127-32.
  • Sward L, Hellstrom M, Jacobsson B and Karlsson L. Vertebral ring apophysis injury in athletes. Is the etiology different in the thoracic and lumbar spine? Am J Sports Med 1993; 21: 841-5.
  • Jones DM, Tearse DS, el-Khoury GY, Kathol MH and Brandser EA. Radiographic abnormalities of the lumbar spine in college football players. A comparative analysis. Am J Sports Med 1999; 27: 335-38.
  • Kolt GS and Kirkby RJ. Epidemiology of injury in elite and subelite female gymnasts: a comparison of retrospective and prospective findings. Br J Sports Med 1999; 33: 312-8.
  • Cosman F, de Beur SJ, LeBoff MS, et al. Clinician's Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int 2014; 25: 2359-81.
  • Arlot ME, Sornay-Rendu E, Garnero P, Vey-Marty B and Delmas PD. Apparent pre- and postmenopausal bone loss evaluated by DXA at different skeletal sites in women: the OFELY cohort. J Bone Miner Res 1997; 12: 683-90.
  • Paker N, Erbil M, Otlu Z, Soy D, Uysal E. Bone mineral density in healthy Turkish women. Journal für Mineralstoffwechsel & Muskuloskelettale Erkrankungen 2005; 12: 73-6.
  • Manisali M, Ozaksoy D, Yilmaz E, et al. Bone mineral density reference values in the normal female and male population of Izmir, Turkey. Eur Radiol 2003; 13: 157-62.
  • Alkan B, Fidan F, Tosun A, Ardicoglu Ö. Fiziksel Tıp ve Rehabilitasyon Polikliniğimize Başvuran Hastalarda Osteoporoz İnsidansı. Türk Osteoporoz Dergisi 2011; 17: 10-13.
  • Tuzun S, Eskiyurt N, Akarirmak U, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012; 23: 949-55.
  • Aslan A, Karakoyun O, Guler E, et al. [Evaluation of bone mineral density, osteoporosis prevalence and regional risk factors in Turkish women living in Kastamonu: KASTURKOS study]. Eklem Hastalik Cerrahisi 2012; 23: 62-7.
  • Johnell O, Kanis JA, Oden A, et al. Mortality after osteoporotic fractures. Osteoporos Int 2004; 15: 38-42.
Yıl 2018, , 469 - 474, 29.12.2018
https://doi.org/10.7197/223.vi.460813

Öz

Kaynakça

  • Scmorl G. Die pathologische Anatomie der Wirbelsaule. Verhandlungen der Deutschen Orthopadeschen Gesellschaft 1926; 21: 3-41.
  • Ghelman B and Freiberger RH. The limbus vertebra: an anterior disc herniation demonstrated by discography. AJR Am J Roentgenol 1976; 127: 854-5
  • Yagan R. CT diagnosis of limbus vertebra. J Comput Assist Tomogr 1984; 8: 149-51.
  • Acosta V, Pariente E, Lara M, Pini SF, Rueda-Gotor J. Limbus Vertebra and Chronic Low Back Pain. Journal of Family Medicine 2016; 3: 1048.
  • Koyama K, Nakazato K, Min S, et al. COL11A1 gene is associated with limbus vertebra in gymnasts. Int J Sports Med 2012; 33: 586-90
  • Bennett DL, Nassar L and DeLano MC. Lumbar spine MRI in the elite-level female gymnast with low back pain. Skeletal Radiol 2006; 35: 503-9. DOI: 10.1007/s00256-006-0083-7.
  • Hellstrom M, Jacobsson B, Sward L and Peterson L. Radiologic abnormalities of the thoraco-lumbar spine in athletes. Acta Radiol 1990; 31: 127-32.
  • Sward L, Hellstrom M, Jacobsson B and Karlsson L. Vertebral ring apophysis injury in athletes. Is the etiology different in the thoracic and lumbar spine? Am J Sports Med 1993; 21: 841-5.
  • Jones DM, Tearse DS, el-Khoury GY, Kathol MH and Brandser EA. Radiographic abnormalities of the lumbar spine in college football players. A comparative analysis. Am J Sports Med 1999; 27: 335-38.
  • Kolt GS and Kirkby RJ. Epidemiology of injury in elite and subelite female gymnasts: a comparison of retrospective and prospective findings. Br J Sports Med 1999; 33: 312-8.
  • Cosman F, de Beur SJ, LeBoff MS, et al. Clinician's Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int 2014; 25: 2359-81.
  • Arlot ME, Sornay-Rendu E, Garnero P, Vey-Marty B and Delmas PD. Apparent pre- and postmenopausal bone loss evaluated by DXA at different skeletal sites in women: the OFELY cohort. J Bone Miner Res 1997; 12: 683-90.
  • Paker N, Erbil M, Otlu Z, Soy D, Uysal E. Bone mineral density in healthy Turkish women. Journal für Mineralstoffwechsel & Muskuloskelettale Erkrankungen 2005; 12: 73-6.
  • Manisali M, Ozaksoy D, Yilmaz E, et al. Bone mineral density reference values in the normal female and male population of Izmir, Turkey. Eur Radiol 2003; 13: 157-62.
  • Alkan B, Fidan F, Tosun A, Ardicoglu Ö. Fiziksel Tıp ve Rehabilitasyon Polikliniğimize Başvuran Hastalarda Osteoporoz İnsidansı. Türk Osteoporoz Dergisi 2011; 17: 10-13.
  • Tuzun S, Eskiyurt N, Akarirmak U, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012; 23: 949-55.
  • Aslan A, Karakoyun O, Guler E, et al. [Evaluation of bone mineral density, osteoporosis prevalence and regional risk factors in Turkish women living in Kastamonu: KASTURKOS study]. Eklem Hastalik Cerrahisi 2012; 23: 62-7.
  • Johnell O, Kanis JA, Oden A, et al. Mortality after osteoporotic fractures. Osteoporos Int 2004; 15: 38-42.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Cerrahi Tıp Bilimleri Araştırma Yazıları
Yazarlar

Mustafa Yavuz Samanci 0000-0001-8952-6866

Sadiye Saratas

Suat Erol Celik

Yayımlanma Tarihi 29 Aralık 2018
Kabul Tarihi 18 Aralık 2018
Yayımlandığı Sayı Yıl 2018

Kaynak Göster

AMA Samanci MY, Saratas S, Celik SE. Bone mineral density status in women with limbus vertebra. CMJ. Aralık 2018;40(4):469-474. doi:10.7197/223.vi.460813