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Lumbar disc degeneration in osteoporotic men: prevalence and assessment of the relation with presence of vertebral fracture.
J Rheumatol. 2013 Jul; 40(7):1183-90.JR

Abstract

OBJECTIVE

The relationship between osteoarthritis (OA) and osteoporosis (OP) remains controversial. An inverse relationship between spine OA and the presence of prevalent vertebral fractures has been shown in osteoporotic women. Our objective was to assess this relationship in osteoporotic men.

METHODS

All the patients had OP based on densitometric data and were aged ≥ 65 years. Spine radiographs were performed according to a standardized procedure. Vertebral fractures were assessed from T4 to L4 by a semiquantitative method. Disc degenerative changes were assessed by the presence and severity of osteophytes and disc narrowing at levels T12-L1 to L5-S1. Logistic regression was used to study the relationship between the presence of vertebral fracture and lumbar disc degeneration.

RESULTS

The study included 261 osteoporotic men. The prevalence of vertebral fractures was 26.4% (69/261). At least 1 osteophyte was found in 91.6% (239/261) of patients, and at least 1 disc space narrowing in 63.5% (165/260). The prevalence of at least 1 osteophyte and/or at least 1 disc space narrowing was similar in patients with and those without vertebral fracture. No relationship was found between the presence and/or the severity of osteophytes and disc narrowings and the presence of prevalent vertebral radiographic fractures.

CONCLUSION

In osteoporotic men, the prevalence of lumbar spine degeneration is high. There is no relationship between lumbar disc degeneration and the presence of vertebral fracture in osteoporotic men.

Authors+Show Affiliations

Department of Rheumatology B, Cochin Hospital, Paris Descartes University, Paris, France. isabelle.fabreguet@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23729808

Citation

Fabreguet, Isabelle, et al. "Lumbar Disc Degeneration in Osteoporotic Men: Prevalence and Assessment of the Relation With Presence of Vertebral Fracture." The Journal of Rheumatology, vol. 40, no. 7, 2013, pp. 1183-90.
Fabreguet I, Fechtenbaum J, Briot K, et al. Lumbar disc degeneration in osteoporotic men: prevalence and assessment of the relation with presence of vertebral fracture. J Rheumatol. 2013;40(7):1183-90.
Fabreguet, I., Fechtenbaum, J., Briot, K., Paternotte, S., & Roux, C. (2013). Lumbar disc degeneration in osteoporotic men: prevalence and assessment of the relation with presence of vertebral fracture. The Journal of Rheumatology, 40(7), 1183-90. https://doi.org/10.3899/jrheum.120769
Fabreguet I, et al. Lumbar Disc Degeneration in Osteoporotic Men: Prevalence and Assessment of the Relation With Presence of Vertebral Fracture. J Rheumatol. 2013;40(7):1183-90. PubMed PMID: 23729808.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lumbar disc degeneration in osteoporotic men: prevalence and assessment of the relation with presence of vertebral fracture. AU - Fabreguet,Isabelle, AU - Fechtenbaum,Jacques, AU - Briot,Karine, AU - Paternotte,Simon, AU - Roux,Christian, Y1 - 2013/06/01/ PY - 2013/6/5/entrez PY - 2013/6/5/pubmed PY - 2014/2/8/medline KW - FRACTURE KW - MALE KW - OSTEOARTHRITIS KW - OSTEOPOROSIS KW - PREVALENCE KW - SPINE SP - 1183 EP - 90 JF - The Journal of rheumatology JO - J Rheumatol VL - 40 IS - 7 N2 - OBJECTIVE: The relationship between osteoarthritis (OA) and osteoporosis (OP) remains controversial. An inverse relationship between spine OA and the presence of prevalent vertebral fractures has been shown in osteoporotic women. Our objective was to assess this relationship in osteoporotic men. METHODS: All the patients had OP based on densitometric data and were aged ≥ 65 years. Spine radiographs were performed according to a standardized procedure. Vertebral fractures were assessed from T4 to L4 by a semiquantitative method. Disc degenerative changes were assessed by the presence and severity of osteophytes and disc narrowing at levels T12-L1 to L5-S1. Logistic regression was used to study the relationship between the presence of vertebral fracture and lumbar disc degeneration. RESULTS: The study included 261 osteoporotic men. The prevalence of vertebral fractures was 26.4% (69/261). At least 1 osteophyte was found in 91.6% (239/261) of patients, and at least 1 disc space narrowing in 63.5% (165/260). The prevalence of at least 1 osteophyte and/or at least 1 disc space narrowing was similar in patients with and those without vertebral fracture. No relationship was found between the presence and/or the severity of osteophytes and disc narrowings and the presence of prevalent vertebral radiographic fractures. CONCLUSION: In osteoporotic men, the prevalence of lumbar spine degeneration is high. There is no relationship between lumbar disc degeneration and the presence of vertebral fracture in osteoporotic men. SN - 0315-162X UR - https://www.unboundmedicine.com/medline/citation/23729808/Lumbar_disc_degeneration_in_osteoporotic_men:_prevalence_and_assessment_of_the_relation_with_presence_of_vertebral_fracture_ L2 - http://www.jrheum.org/cgi/pmidlookup?view=long&pmid=23729808 DB - PRIME DP - Unbound Medicine ER -