Tags

Type your tag names separated by a space and hit enter

Association of lumbar disc degeneration with osteoporotic fractures; the Rotterdam study and meta-analysis from systematic review.
Bone. 2013 Nov; 57(1):284-9.BONE

Abstract

OBJECTIVE

To investigate the relation between lumbar disc degeneration (LDD) and all type of osteoporotic (OP) fractures including vertebral.

METHODS

This study is part of the Rotterdam study, a large prospective population-based cohort study among men and women aged 55years and over. In 2819 participants spine radiographs were scored for LDD (osteophytes and disc space narrowing (DSN)) from L1 till S1, using the Lane atlas. Osteoporotic (OP) fracture data were collected and verified by specialists during 12.8years. We considered two types of vertebral fractures (VFx): Clinical VFx (symptomatic fractures recorded by medical practitioners) and Radiographic VFx (using the McCloskey-Kanis method). Meta-analysis of published studies reporting an association of LDD features and VFx was performed. Differences in Bone Mineral Density (BMD) between participants with and without LDD features were analyzed using ANOVA. Risk of OP-fractures was analyzed using Cox regression.

RESULTS

In a total of 2385 participants, during 12.8years follow-up, 558 suffered an OP-fracture. Subjects with LDD had an increased OP fracture risk compared to subjects without LDD (HR: 1.29, CI: 1.04-1.60). LDD-cases have between 0.3 and 0.72 standard deviations more BMD than non-cases in all analyzed regions including total body BMD and skull BMD (P<0.001). Only males with LDD had increased risk for OP-fractures compared to males without LDD (adjusted-HR: 1.80, 95%CI: 1.20-2.70, P=0.005). The risk was also higher for VFx in males (HR: 1.64, CI: 1.03-2.60, P: 0.04). The association LDD-OP-fractures in females was lower and not significant (adjusted-HR: 1.08, 95%CI: 0.82-1.41). Meta-analyses showed that the risk of VFx in subjects with LDD has been studied only in women and there is not enough evidence to confidently analyze the relationship between LDD-features (DSN or/and OPH) and VFx due to low power and heterogeneity in phenotype definition in the collected studies.

CONCLUSIONS

Male subjects with LDD have a higher osteoporotic fracture risk, in spite of systemically higher BMD.

Authors+Show Affiliations

Department of Internal Medicine, Erasmus Medical Center, 3000 DR Rotterdam, The Netherlands; The Netherlands Genomics Initiative-sponsored Netherlands Consortium for Healthy Aging (NGI-NCHA), 2300 RC Leiden, The Netherlands; Department of Epidemiology, Erasmus Medical Center, 3000 DR Rotterdam, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

23958823

Citation

Castaño-Betancourt, M C., et al. "Association of Lumbar Disc Degeneration With Osteoporotic Fractures; the Rotterdam Study and Meta-analysis From Systematic Review." Bone, vol. 57, no. 1, 2013, pp. 284-9.
Castaño-Betancourt MC, Oei L, Rivadeneira F, et al. Association of lumbar disc degeneration with osteoporotic fractures; the Rotterdam study and meta-analysis from systematic review. Bone. 2013;57(1):284-9.
Castaño-Betancourt, M. C., Oei, L., Rivadeneira, F., de Schepper, E. I., Hofman, A., Bierma-Zeinstra, S., Pols, H. A., Uitterlinden, A. G., & Van Meurs, J. B. (2013). Association of lumbar disc degeneration with osteoporotic fractures; the Rotterdam study and meta-analysis from systematic review. Bone, 57(1), 284-9. https://doi.org/10.1016/j.bone.2013.08.004
Castaño-Betancourt MC, et al. Association of Lumbar Disc Degeneration With Osteoporotic Fractures; the Rotterdam Study and Meta-analysis From Systematic Review. Bone. 2013;57(1):284-9. PubMed PMID: 23958823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of lumbar disc degeneration with osteoporotic fractures; the Rotterdam study and meta-analysis from systematic review. AU - Castaño-Betancourt,M C, AU - Oei,L, AU - Rivadeneira,F, AU - de Schepper,E I T, AU - Hofman,A, AU - Bierma-Zeinstra,S, AU - Pols,H A P, AU - Uitterlinden,A G, AU - Van Meurs,J B J, Y1 - 2013/08/17/ PY - 2013/06/12/received PY - 2013/08/01/revised PY - 2013/08/05/accepted PY - 2013/8/21/entrez PY - 2013/8/21/pubmed PY - 2014/4/18/medline KW - BMD KW - BMI KW - Body Mass Index KW - Bone Mineral Density KW - DSN KW - Disc space narrowing KW - LDD KW - Lumbar disc degeneration KW - OA KW - OP KW - OPH KW - Osteoporotic fractures KW - VFx KW - Vertebral fractures KW - disc space narrowing KW - lumbar disc degeneration KW - osteoarthritis KW - osteophytes KW - osteoporotic KW - vertebral fractures SP - 284 EP - 9 JF - Bone JO - Bone VL - 57 IS - 1 N2 - OBJECTIVE: To investigate the relation between lumbar disc degeneration (LDD) and all type of osteoporotic (OP) fractures including vertebral. METHODS: This study is part of the Rotterdam study, a large prospective population-based cohort study among men and women aged 55years and over. In 2819 participants spine radiographs were scored for LDD (osteophytes and disc space narrowing (DSN)) from L1 till S1, using the Lane atlas. Osteoporotic (OP) fracture data were collected and verified by specialists during 12.8years. We considered two types of vertebral fractures (VFx): Clinical VFx (symptomatic fractures recorded by medical practitioners) and Radiographic VFx (using the McCloskey-Kanis method). Meta-analysis of published studies reporting an association of LDD features and VFx was performed. Differences in Bone Mineral Density (BMD) between participants with and without LDD features were analyzed using ANOVA. Risk of OP-fractures was analyzed using Cox regression. RESULTS: In a total of 2385 participants, during 12.8years follow-up, 558 suffered an OP-fracture. Subjects with LDD had an increased OP fracture risk compared to subjects without LDD (HR: 1.29, CI: 1.04-1.60). LDD-cases have between 0.3 and 0.72 standard deviations more BMD than non-cases in all analyzed regions including total body BMD and skull BMD (P<0.001). Only males with LDD had increased risk for OP-fractures compared to males without LDD (adjusted-HR: 1.80, 95%CI: 1.20-2.70, P=0.005). The risk was also higher for VFx in males (HR: 1.64, CI: 1.03-2.60, P: 0.04). The association LDD-OP-fractures in females was lower and not significant (adjusted-HR: 1.08, 95%CI: 0.82-1.41). Meta-analyses showed that the risk of VFx in subjects with LDD has been studied only in women and there is not enough evidence to confidently analyze the relationship between LDD-features (DSN or/and OPH) and VFx due to low power and heterogeneity in phenotype definition in the collected studies. CONCLUSIONS: Male subjects with LDD have a higher osteoporotic fracture risk, in spite of systemically higher BMD. SN - 1873-2763 UR - https://www.unboundmedicine.com/medline/citation/23958823/Association_of_lumbar_disc_degeneration_with_osteoporotic_fractures L2 - https://linkinghub.elsevier.com/retrieve/pii/S8756-3282(13)00314-1 DB - PRIME DP - Unbound Medicine ER -