Use of computed tomography for assessing bone mineral density

被引:205
作者
Schreiber, Joseph J. [1 ]
Anderson, Paul A. [2 ]
Hsu, Wellington K. [3 ]
机构
[1] Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USA
[2] Univ Wisconsin, Dept Orthoped & Rehabil, Madison, WI 53705 USA
[3] Northwestern Univ, Dept Orthopaed Surg, Feinberg Sch Med, Chicago, IL 60611 USA
关键词
Hounsfield unit; osteoporosis; bone mineral density; PRIMARY IMPLANT STABILITY; X-RAY ABSORPTIOMETRY; HOUNSFIELD UNITS; FRACTURE RISK; OSTEOPOROTIC FRACTURES; INCIDENTAL DUROTOMY; VERTEBRAL BODY; DIAGNOSTIC CT; SPINE SURGERY; IN-VITRO;
D O I
10.3171/2014.5.FOCUS1483
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Assessing local bone quality on CT scans with Hounsfield unit (HU) quantification is being used with increasing frequency. Correlations between HU and bone mineral density have been established, and normative data have been defined throughout the spine. Recent investigations have explored the utility of HU values in assessing fracture risk, implant stability, and spinal fusion success. The information provided by a simple HU measurement can alert the treating physician to decreased bone quality, which can be useful in both medically and surgically managing these patients.
引用
收藏
页数:8
相关论文
共 37 条
[1]  
ALEXEEVA L, 1994, WHO TECH REP SER, V843, P1
[2]   THE EFFECTS OF PEDICLE SCREW FIT - AN IN-VITRO STUDY [J].
BRANTLEY, AGU ;
MAYFIELD, JK ;
KOENEMAN, JB ;
CLARK, KR .
SPINE, 1994, 19 (15) :1752-1758
[3]  
Burge R, 2007, J BONE MINER RES, V22, P465, DOI [10.1359/jbmr.061113, 10.1359/JBMR.061113]
[4]   Incidental durotomy in spine surgery [J].
Cammisa, FP ;
Girardi, FP ;
Sangani, PK ;
Parvataneni, HK ;
Cadag, S ;
Sandhu, HS .
SPINE, 2000, 25 (20) :2663-2667
[5]   Prevalence of osteoporosis in patients requiring spine surgery: incidence and significance of osteoporosis in spine disease [J].
Chin, D. K. ;
Park, J. Y. ;
Yoon, Y. S. ;
Kuh, S. U. ;
Jin, B. H. ;
Kim, K. S. ;
Cho, Y. E. .
OSTEOPOROSIS INTERNATIONAL, 2007, 18 (09) :1219-1224
[6]   Biomechanical evaluation and preliminary clinical experience with an expansive pedicle screw design [J].
Cook, SD ;
Salkeld, SL ;
Whitecloud, TS ;
Barbera, J .
JOURNAL OF SPINAL DISORDERS, 2000, 13 (03) :230-236
[7]   Survey of spine surgeons on attitudes regarding osteoporosis and osteomalacia screening and treatment for fractures, fusion surgery, and pseudoarthrosis [J].
Dipaola, Christian P. ;
Bible, Jesse E. ;
Biswas, Debdut ;
Dipaola, Matthew ;
Grauer, Jonathan N. ;
Rechtine, Glenn R. .
SPINE JOURNAL, 2009, 9 (07) :537-544
[8]   Vertebral Body Hounsfield Units as a Predictor of Incidental Durotomy in Primary Lumbar Spinal Surgery [J].
Du, Jerry Y. ;
Aichmair, Alexander ;
Ueda, Haruki ;
Girardi, Federico P. ;
Cammisa, Frank P. ;
Lebl, Darren R. .
SPINE, 2014, 39 (09) :E593-E598
[9]  
Eswaran SK, 2006, J BONE MINER RES, V21, P307, DOI 10.1359/JBMR.051027
[10]   Assessment of calibration methods for estimating bone mineral densities in trauma patients with quantitative CT: An anthropomorphic phantom study [J].
Goodsitt, MM ;
Christodoulou, EG ;
Larson, SC ;
Kazerooni, EA .
ACADEMIC RADIOLOGY, 2001, 8 (09) :822-834