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Erschienen in: European Radiology 8/2005

01.08.2005 | Musculoskeletal

Radiologic assessment of osteoporotic vertebral fractures: diagnostic and prognostic implications

verfasst von: Thomas M. Link, Giuseppe Guglielmi, Cornelis van Kuijk, Judith E. Adams

Erschienen in: European Radiology | Ausgabe 8/2005

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Abstract

As populations age osteoporosis becomes an increasingly important public health issue. Among osteoporotic fractures vertebral fractures are of particular relevance: they are the most common fractures, frequently are asymptomatic but have an important influence on prognosis and morbidity in the osteoporotic patient. Previous studies have suggested that these fractures are frequently not diagnosed and that radiologists miss a high percentage of osteoporotic, vertebral fractures present on lateral chest radiographs. The aims of this review are (1) to emphasize the important role that radiologists play in the accurate and clear reporting of vertebral fractures, (2) to provide guidance in assessing these fractures in radiographs, MRI and computed tomography imaging of the vertebral spine and (3) to sensitize the radiologist in diagnosing fractures in chest radiographs.
Literatur
1.
Zurück zum Zitat Ensrud K, Thompson D, Cauley J, Nevitt M, Kado D, Hochberg M, Santora An, Black D (2000) Prevalent vertebral deformities predict mortality and hospitalization in older women with low bone mass. Fracture Intervention Trial Research Group. J Am Geriatr Soc 48(3):241–249 Ensrud K, Thompson D, Cauley J, Nevitt M, Kado D, Hochberg M, Santora An, Black D (2000) Prevalent vertebral deformities predict mortality and hospitalization in older women with low bone mass. Fracture Intervention Trial Research Group. J Am Geriatr Soc 48(3):241–249
2.
Zurück zum Zitat DeSantis A, Buchman A (2002) Current and emerging therapies in osteoporosis. Expert Opin Pharmacother 3:835–843 DeSantis A, Buchman A (2002) Current and emerging therapies in osteoporosis. Expert Opin Pharmacother 3:835–843
3.
Zurück zum Zitat Kobayashi K, Shimoyama K, Nakamura K, Murata K (2005) Percutaneous vertebroplasty immediately relieves pain of osteoporotic vertebral compression fractures and prevents prolonged immobilization of patients. Eur Radiol 15:360–367 Kobayashi K, Shimoyama K, Nakamura K, Murata K (2005) Percutaneous vertebroplasty immediately relieves pain of osteoporotic vertebral compression fractures and prevents prolonged immobilization of patients. Eur Radiol 15:360–367
4.
Zurück zum Zitat Theodorou DJ, Theodorou SJ, Sartoris DJ (2002) Treatment of osteoporosis: current status and recent advances. Compr Ther 28:109–122 Theodorou DJ, Theodorou SJ, Sartoris DJ (2002) Treatment of osteoporosis: current status and recent advances. Compr Ther 28:109–122
5.
Zurück zum Zitat Gabriel SE, Tosteson AN, Leibson CL, Crowson CS, Pond GR, Hammond CS, Melton LJ III (2002) Direct medical costs attributable to osteoporotic fractures. Osteoporos Int 13:323–330 Gabriel SE, Tosteson AN, Leibson CL, Crowson CS, Pond GR, Hammond CS, Melton LJ III (2002) Direct medical costs attributable to osteoporotic fractures. Osteoporos Int 13:323–330
6.
Zurück zum Zitat (2003) Prevention and management of osteoporosis. World Health Organ Tech Rep Ser 921:1–164 (back cover) (2003) Prevention and management of osteoporosis. World Health Organ Tech Rep Ser 921:1–164 (back cover)
7.
Zurück zum Zitat Delmas PD, Watts N, Eastell R (2001) Underdiagnosis of vertebral fractures is a world wide problem. J Bone Miner Res 16(suppl):S139 Delmas PD, Watts N, Eastell R (2001) Underdiagnosis of vertebral fractures is a world wide problem. J Bone Miner Res 16(suppl):S139
8.
Zurück zum Zitat Gehlbach S, Bigelow C, Heimisdottir M, May S, Walker M, Kirkwood J (2000) Recognition of vertebral fracture in a clinical setting. Osteoporos Int 11:577–582 Gehlbach S, Bigelow C, Heimisdottir M, May S, Walker M, Kirkwood J (2000) Recognition of vertebral fracture in a clinical setting. Osteoporos Int 11:577–582
9.
Zurück zum Zitat Kim N, Rowe BH, Raymond G, Jen H, Colman I, Jackson SA, Siminoski KG, Chahal AM, Folk D, Majumdar SR (2004) Underreporting of vertebral fractures on routine chest radiography. Am J Roentgenol 182:297–300 Kim N, Rowe BH, Raymond G, Jen H, Colman I, Jackson SA, Siminoski KG, Chahal AM, Folk D, Majumdar SR (2004) Underreporting of vertebral fractures on routine chest radiography. Am J Roentgenol 182:297–300
10.
Zurück zum Zitat Mui LW, Haramati LB, Alterman DD, Haramati N, Zelefsky MN, Hamerman D (2003) Evaluation of vertebral fractures on lateral chest radiographs of inner-city postmenopausal women. Calcif Tissue Int 73:550–554 Mui LW, Haramati LB, Alterman DD, Haramati N, Zelefsky MN, Hamerman D (2003) Evaluation of vertebral fractures on lateral chest radiographs of inner-city postmenopausal women. Calcif Tissue Int 73:550–554
11.
Zurück zum Zitat Mueller D, Isbary M, Boehm H, Bauer J, Rummeny E, Link T (2004) Recognition of osteoporosis-related vertebral fractures on chest radiographs in postmenopausal women. In: RSNA. Chicago, p 305 Mueller D, Isbary M, Boehm H, Bauer J, Rummeny E, Link T (2004) Recognition of osteoporosis-related vertebral fractures on chest radiographs in postmenopausal women. In: RSNA. Chicago, p 305
12.
Zurück zum Zitat Lindsay R, Silverman S, Cooper C et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285:320–323 Lindsay R, Silverman S, Cooper C et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285:320–323
13.
Zurück zum Zitat Aloia JF, Vaswani A, Yeh JK, Flaster E (1996) Risk for osteoporosis in black women. Calcif Tissue Int 59:415–423 Aloia JF, Vaswani A, Yeh JK, Flaster E (1996) Risk for osteoporosis in black women. Calcif Tissue Int 59:415–423
14.
Zurück zum Zitat Bauer RL, Deyo RA (1987) Low risk of vertebral fracture in Mexican American women. Arch Intern Med 147:1437–1439 Bauer RL, Deyo RA (1987) Low risk of vertebral fracture in Mexican American women. Arch Intern Med 147:1437–1439
15.
Zurück zum Zitat Davies KM, Stegman MR, Heaney RP, Recker RR (1996) Prevalence and severity of vertebral fracture: the Saunders County Bone Quality Study. Osteoporos Int 6:160–165 Davies KM, Stegman MR, Heaney RP, Recker RR (1996) Prevalence and severity of vertebral fracture: the Saunders County Bone Quality Study. Osteoporos Int 6:160–165
16.
Zurück zum Zitat Johansson C, Mellstrom D, Rosengren K, Rundgren A (1993) Prevalence of vertebral fractures in 85-year-olds. Radiographic examination of 462 subjects. Acta Orthop Scand 64:25–27 Johansson C, Mellstrom D, Rosengren K, Rundgren A (1993) Prevalence of vertebral fractures in 85-year-olds. Radiographic examination of 462 subjects. Acta Orthop Scand 64:25–27
17.
Zurück zum Zitat Nevitt MC, Ettinger B, Black DM, Stone K, Jamal SA, Ensrud K, Segal M, Genant HK, Cummings SR (1998) The association of radiographically detected vertebral fractures with back pain and function: a prospective study. Ann Intern Med 128:793–800 Nevitt MC, Ettinger B, Black DM, Stone K, Jamal SA, Ensrud K, Segal M, Genant HK, Cummings SR (1998) The association of radiographically detected vertebral fractures with back pain and function: a prospective study. Ann Intern Med 128:793–800
18.
Zurück zum Zitat Melton L, Atkinson E, Cooper C, O’Fallon W, Riggs B (1999) Vertebral fractures predict subsequent fractures. Osteoporos Int 10:214–221 Melton L, Atkinson E, Cooper C, O’Fallon W, Riggs B (1999) Vertebral fractures predict subsequent fractures. Osteoporos Int 10:214–221
19.
Zurück zum Zitat O’Neill TW, Cockerill W, Matthis C et al (2004) Back pain, disability, and radiographic vertebral fracture in European women: a prospective study. Osteoporos Int 15:760–765 O’Neill TW, Cockerill W, Matthis C et al (2004) Back pain, disability, and radiographic vertebral fracture in European women: a prospective study. Osteoporos Int 15:760–765
20.
Zurück zum Zitat Cockerill W, Lunt M, Silman AJ et al (2004) Health-related quality of life and radiographic vertebral fracture. Osteoporos Int 15:113–119 Cockerill W, Lunt M, Silman AJ et al (2004) Health-related quality of life and radiographic vertebral fracture. Osteoporos Int 15:113–119
21.
Zurück zum Zitat Kado DM, Duong T, Stone KL, Ensrud KE, Nevitt MC, Greendale GA, Cummings SR (2003) Incident vertebral fractures and mortality in older women: a prospective study. Osteoporos Int 14:589–594 Kado DM, Duong T, Stone KL, Ensrud KE, Nevitt MC, Greendale GA, Cummings SR (2003) Incident vertebral fractures and mortality in older women: a prospective study. Osteoporos Int 14:589–594
22.
Zurück zum Zitat Lunt M, O’Neill TW, Felsenberg D, Reeve J, Kanis JA, Cooper C, Silman AJ (2003) Characteristics of a prevalent vertebral deformity predict subsequent vertebral fracture: results from the European Prospective Osteoporosis Study (EPOS). Bone 33:505–513 Lunt M, O’Neill TW, Felsenberg D, Reeve J, Kanis JA, Cooper C, Silman AJ (2003) Characteristics of a prevalent vertebral deformity predict subsequent vertebral fracture: results from the European Prospective Osteoporosis Study (EPOS). Bone 33:505–513
23.
Zurück zum Zitat Ismail AA, Cockerill W, Cooper C et al (2001) Prevalent vertebral deformity predicts incident hip though not distal forearm fracture: results from the European Prospective Osteoporosis Study. Osteoporos Int 12:85–90 Ismail AA, Cockerill W, Cooper C et al (2001) Prevalent vertebral deformity predicts incident hip though not distal forearm fracture: results from the European Prospective Osteoporosis Study. Osteoporos Int 12:85–90
24.
Zurück zum Zitat Lenchik L, Rogers LF, Delmas PD, Genant HK (2004) Diagnosis of osteoporotic vertebral fractures: importance of recognition and description by radiologists. Am J Roentgenol 183:949–958 Lenchik L, Rogers LF, Delmas PD, Genant HK (2004) Diagnosis of osteoporotic vertebral fractures: importance of recognition and description by radiologists. Am J Roentgenol 183:949–958
25.
Zurück zum Zitat WHO (1994) Technical Report: assessment of fracture risk and its application to screening for postmenopausal osteoporosis: a report of a WHO study group. In: World Health Organization. Geneva, Switzerland WHO (1994) Technical Report: assessment of fracture risk and its application to screening for postmenopausal osteoporosis: a report of a WHO study group. In: World Health Organization. Geneva, Switzerland
26.
Zurück zum Zitat Black DM, Palermo L, Nevitt MC, Genant HK, Epstein R, San Valentin R, Cummings SR (1995) Comparison of methods for defining prevalent vertebral deformities: the study of osteoporotic fractures. J Bone Miner Res 10:890–902 Black DM, Palermo L, Nevitt MC, Genant HK, Epstein R, San Valentin R, Cummings SR (1995) Comparison of methods for defining prevalent vertebral deformities: the study of osteoporotic fractures. J Bone Miner Res 10:890–902
27.
Zurück zum Zitat McCloskey EV, Spector TD, Eyres KS, Fern ED, O’Rourke N, Vasikaran S, Kanis JA (1993) The assessment of vertebral deformity: a method for use in population studies and clinical trials. Osteoporos Int 3:138–147 McCloskey EV, Spector TD, Eyres KS, Fern ED, O’Rourke N, Vasikaran S, Kanis JA (1993) The assessment of vertebral deformity: a method for use in population studies and clinical trials. Osteoporos Int 3:138–147
28.
Zurück zum Zitat Eastell R, Cedel SL, Wahner HW, Riggs BL, Melton LJ III (1991) Classification of vertebral fractures. J Bone Miner Res 6:207–215 Eastell R, Cedel SL, Wahner HW, Riggs BL, Melton LJ III (1991) Classification of vertebral fractures. J Bone Miner Res 6:207–215
29.
Zurück zum Zitat Smith-Bindman R, Steiger P, Cummings SR, Genant HK (1991) The index of radiographic area (IRA): a new approach to estimating the severity of vertebral deformity. Bone Miner 15:137–149 Smith-Bindman R, Steiger P, Cummings SR, Genant HK (1991) The index of radiographic area (IRA): a new approach to estimating the severity of vertebral deformity. Bone Miner 15:137–149
30.
Zurück zum Zitat Jiang G, Eastell R, Barrington NA, Ferrar L (2004) Comparison of methods for the visual identification of prevalent vertebral fracture in osteoporosis. Osteoporos Int 15:887–896 Jiang G, Eastell R, Barrington NA, Ferrar L (2004) Comparison of methods for the visual identification of prevalent vertebral fracture in osteoporosis. Osteoporos Int 15:887–896
31.
Zurück zum Zitat Hurxthal LM (1968) Measurement of anterior vertebral compressions and biconcave vertebrae. Am J Roentgenol Radium Ther Nucl Med 103:635–644 Hurxthal LM (1968) Measurement of anterior vertebral compressions and biconcave vertebrae. Am J Roentgenol Radium Ther Nucl Med 103:635–644
32.
Zurück zum Zitat Lunt M, Ismail AA, Felsenberg D, Cooper C, Kanis JA, Reeve J, Silman AJ, O’Neill TW (2002) Defining incident vertebral deformities in population studies: a comparison of morphometric criteria. Osteoporos Int 13:809–815 Lunt M, Ismail AA, Felsenberg D, Cooper C, Kanis JA, Reeve J, Silman AJ, O’Neill TW (2002) Defining incident vertebral deformities in population studies: a comparison of morphometric criteria. Osteoporos Int 13:809–815
33.
Zurück zum Zitat Genant HK, Wu CY, van Kuijk C, Nevitt MC (1993) Vertebral fracture assessment using a semiquantitative technique. J Bone Miner Res 8:1137–1148 Genant HK, Wu CY, van Kuijk C, Nevitt MC (1993) Vertebral fracture assessment using a semiquantitative technique. J Bone Miner Res 8:1137–1148
34.
Zurück zum Zitat Storm T, Thamsborg G, Steiniche T, Genant HK, Sorensen OH (1990) Effect of intermittent cyclical etidronate therapy on bone mass and fracture rate in women with postmenopausal osteoporosis. N Engl J Med 322:1265–1271 Storm T, Thamsborg G, Steiniche T, Genant HK, Sorensen OH (1990) Effect of intermittent cyclical etidronate therapy on bone mass and fracture rate in women with postmenopausal osteoporosis. N Engl J Med 322:1265–1271
35.
Zurück zum Zitat Ettinger B, Block JE, Smith R, Cummings SR, Harris ST, Genant HK (1988) An examination of the association between vertebral deformities, physical disabilities and psychosocial problems. Maturitas 10:283–296 Ettinger B, Block JE, Smith R, Cummings SR, Harris ST, Genant HK (1988) An examination of the association between vertebral deformities, physical disabilities and psychosocial problems. Maturitas 10:283–296
36.
Zurück zum Zitat Wu CY, Li J, Jergas M, Genant HK (1995) Comparison of semiquantitative and quantitative techniques for the assessment of prevalent and incident vertebral fractures. Osteoporos Int 5:354–370 Wu CY, Li J, Jergas M, Genant HK (1995) Comparison of semiquantitative and quantitative techniques for the assessment of prevalent and incident vertebral fractures. Osteoporos Int 5:354–370
37.
Zurück zum Zitat Leidig-Bruckner G, Genant HK, Minne HW, Storm T, Thamsborg G, Bruckner T, Sauer P, Schilling T, Soerensen OH, Ziegler R (1994) Comparison of a semiquantitative and a quantitative method for assessing vertebral fractures in osteoporosis. Bone 15:437–442 Leidig-Bruckner G, Genant HK, Minne HW, Storm T, Thamsborg G, Bruckner T, Sauer P, Schilling T, Soerensen OH, Ziegler R (1994) Comparison of a semiquantitative and a quantitative method for assessing vertebral fractures in osteoporosis. Bone 15:437–442
38.
Zurück zum Zitat Meunier P, Bressot C, Vignon E, Edouard C, Alexandre C, Coupron P, Laurent J (1978) Radiological and histological evolution of post-menopausal osteoporosis treated with sodium fluoride–vitamin D–calcium. Preliminary results. Hans Huber Publishers, Bern Meunier P, Bressot C, Vignon E, Edouard C, Alexandre C, Coupron P, Laurent J (1978) Radiological and histological evolution of post-menopausal osteoporosis treated with sodium fluoride–vitamin D–calcium. Preliminary results. Hans Huber Publishers, Bern
39.
Zurück zum Zitat Meunier P, Delmas P, Eastell R, McClung M, Papapoulos S, Rizzoli R, Seeman E, Wasnich R (1999) Diagnosis and management of osteoporosis in postmenopausal women: clinical guidelines. International Committee for Osteoporosis Clinical Guidelines. 21:1025–1044 Meunier P, Delmas P, Eastell R, McClung M, Papapoulos S, Rizzoli R, Seeman E, Wasnich R (1999) Diagnosis and management of osteoporosis in postmenopausal women: clinical guidelines. International Committee for Osteoporosis Clinical Guidelines. 21:1025–1044
40.
Zurück zum Zitat Minne H, Leidig G, Wüster C, Siromachkostov L, Baldauf G, Bickel R, Sauer P, Lojen M, Ziegler R (1988) A newly developed spine deformity index (SDI) to quantitate vertebral crush fractures in patients with osteoporosis. Bone Miner 3:335–349 Minne H, Leidig G, Wüster C, Siromachkostov L, Baldauf G, Bickel R, Sauer P, Lojen M, Ziegler R (1988) A newly developed spine deformity index (SDI) to quantitate vertebral crush fractures in patients with osteoporosis. Bone Miner 3:335–349
41.
Zurück zum Zitat Lachmann E, Whelan M (1936) The roentgen diagnosis of osteoporosis and its limitations. Radiology 26:165–177 Lachmann E, Whelan M (1936) The roentgen diagnosis of osteoporosis and its limitations. Radiology 26:165–177
42.
Zurück zum Zitat Guermazi A, Mohr A, Grigorian M, Taouli B, Genant HK (2002) Identification of vertebral fractures in osteoporosis. Semin Musculoskelet Radiol 6:241–252 Guermazi A, Mohr A, Grigorian M, Taouli B, Genant HK (2002) Identification of vertebral fractures in osteoporosis. Semin Musculoskelet Radiol 6:241–252
43.
Zurück zum Zitat Jung HS, Jee WH, McCauley TR, Ha KY, Choi KH (2003) Discrimination of metastatic from acute osteoporotic compression spinal fractures with MR imaging. Radiographics 23:179–187 Jung HS, Jee WH, McCauley TR, Ha KY, Choi KH (2003) Discrimination of metastatic from acute osteoporotic compression spinal fractures with MR imaging. Radiographics 23:179–187
44.
Zurück zum Zitat Baur A, Stabler A, Arbogast S, Duerr HR, Bartl R, Reiser M (2002) Acute osteoporotic and neoplastic vertebral compression fractures: fluid sign at MR imaging. Radiology 225:730–735 Baur A, Stabler A, Arbogast S, Duerr HR, Bartl R, Reiser M (2002) Acute osteoporotic and neoplastic vertebral compression fractures: fluid sign at MR imaging. Radiology 225:730–735
45.
Zurück zum Zitat Daldrup-Link HE, Rummeny EJ, Ihssen B, Kienast J, Link TM (2002) Iron-oxide-enhanced MR imaging of bone marrow in patients with non-Hodgkin’s lymphoma: differentiation between tumor infiltration and hypercellular bone marrow. Eur Radiol 12:1557–1566 Daldrup-Link HE, Rummeny EJ, Ihssen B, Kienast J, Link TM (2002) Iron-oxide-enhanced MR imaging of bone marrow in patients with non-Hodgkin’s lymphoma: differentiation between tumor infiltration and hypercellular bone marrow. Eur Radiol 12:1557–1566
46.
Zurück zum Zitat Daldrup-Link H, Ihssen B, Link T, Rummeny E (2001) Iron oxides differentiate between hyperplastic hematopoetic marrow and bone marrow neoplasms. Eur Radiol 11:S377 Daldrup-Link H, Ihssen B, Link T, Rummeny E (2001) Iron oxides differentiate between hyperplastic hematopoetic marrow and bone marrow neoplasms. Eur Radiol 11:S377
47.
Zurück zum Zitat Spuentrup E, Buecker A, Adam G, van Vaals JJ, Guenther RW (2001) Diffusion-weighted MR imaging for differentiation of benign fracture edema and tumor infiltration of the vertebral body. Am J Roentgenol 176:351–358 Spuentrup E, Buecker A, Adam G, van Vaals JJ, Guenther RW (2001) Diffusion-weighted MR imaging for differentiation of benign fracture edema and tumor infiltration of the vertebral body. Am J Roentgenol 176:351–358
48.
Zurück zum Zitat Baur A, Dietrich O, Reiser M (2003) Diffusion-weighted imaging of bone marrow: current status. Eur Radiol 13:1699–1708 Baur A, Dietrich O, Reiser M (2003) Diffusion-weighted imaging of bone marrow: current status. Eur Radiol 13:1699–1708
49.
Zurück zum Zitat Baur A, Reiser MF (2000) Diffusion-weighted imaging of the musculoskeletal system in humans. Skelet Radiol 29:555–562 Baur A, Reiser MF (2000) Diffusion-weighted imaging of the musculoskeletal system in humans. Skelet Radiol 29:555–562
50.
Zurück zum Zitat Baur A, Stabler A, Bruning R, Bartl R, Krodel A, Reiser M, Deimling M (1998) Diffusion-weighted MR imaging of bone marrow: differentiation of benign versus pathologic compression fractures. Radiology 207:349–356 Baur A, Stabler A, Bruning R, Bartl R, Krodel A, Reiser M, Deimling M (1998) Diffusion-weighted MR imaging of bone marrow: differentiation of benign versus pathologic compression fractures. Radiology 207:349–356
51.
Zurück zum Zitat Baur A, Stabler A, Huber A, Reiser M (2001) Diffusion-weighted magnetic resonance imaging of spinal bone marrow. Semin Musculoskelet Radiol 5:35–42 Baur A, Stabler A, Huber A, Reiser M (2001) Diffusion-weighted magnetic resonance imaging of spinal bone marrow. Semin Musculoskelet Radiol 5:35–42
52.
Zurück zum Zitat Blake SP, Connors AM (2004) Sacral insufficiency fracture. Br J Radiol 77:891–896 Blake SP, Connors AM (2004) Sacral insufficiency fracture. Br J Radiol 77:891–896
53.
Zurück zum Zitat Baur-Melnyk A, Reiser M (2004) Staging of multiple myeloma with MRI: comparison to MSCT and conventional radiography. Radiologe 44:874–881 Baur-Melnyk A, Reiser M (2004) Staging of multiple myeloma with MRI: comparison to MSCT and conventional radiography. Radiologe 44:874–881
54.
Zurück zum Zitat Horn EM, Lekovic GP, Feiz-Erfan I, Sonntag VK, Theodore N (2004) Cervical magnetic resonance imaging abnormalities not predictive of cervical spine instability in traumatically injured patients. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 1:39–42 Horn EM, Lekovic GP, Feiz-Erfan I, Sonntag VK, Theodore N (2004) Cervical magnetic resonance imaging abnormalities not predictive of cervical spine instability in traumatically injured patients. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 1:39–42
55.
Zurück zum Zitat Laredo JD, Lakhdari K, Bellaiche L, Hamze B, Janklewicz P, Tubiana JM (1995) Acute vertebral collapse: CT findings in benign and malignant nontraumatic cases. Radiology 194:41–48 Laredo JD, Lakhdari K, Bellaiche L, Hamze B, Janklewicz P, Tubiana JM (1995) Acute vertebral collapse: CT findings in benign and malignant nontraumatic cases. Radiology 194:41–48
56.
Zurück zum Zitat Stabler A, Schneider P, Link TM, Schops P, Springer OS, Durr HR, Reiser M (1999) Intravertebral vacuum phenomenon following fractures: CT study on frequency and etiology. J Comput Assist Tomogr 23:976–980 Stabler A, Schneider P, Link TM, Schops P, Springer OS, Durr HR, Reiser M (1999) Intravertebral vacuum phenomenon following fractures: CT study on frequency and etiology. J Comput Assist Tomogr 23:976–980
57.
Zurück zum Zitat Resnick DL (1982) Fish vertebrae. Arthritis Rheum 25:1073–1077 Resnick DL (1982) Fish vertebrae. Arthritis Rheum 25:1073–1077
58.
Zurück zum Zitat Adams J (2005) Radiology of rickets and osteomalacia. In: Feldman D, Glorieux FH, Pike JW (eds) Vitamin D. Elsevier Academic Press, San Diego, CA, pp 967–994 Adams J (2005) Radiology of rickets and osteomalacia. In: Feldman D, Glorieux FH, Pike JW (eds) Vitamin D. Elsevier Academic Press, San Diego, CA, pp 967–994
59.
Zurück zum Zitat Adams JE (2002) Dialysis bone disease. Semin Dial 15:277–289 Adams JE (2002) Dialysis bone disease. Semin Dial 15:277–289
60.
Zurück zum Zitat Whitehouse RW (2002) Paget’s disease of bone. Semin Musculoskelet Radiol 6:313–322 Whitehouse RW (2002) Paget’s disease of bone. Semin Musculoskelet Radiol 6:313–322
61.
Zurück zum Zitat Ledermann HP, Schweitzer ME, Morrison WB, Carrino JA (2003) MR imaging findings in spinal infections: rules or myths? Radiology 228:506–514 Ledermann HP, Schweitzer ME, Morrison WB, Carrino JA (2003) MR imaging findings in spinal infections: rules or myths? Radiology 228:506–514
62.
Zurück zum Zitat Assmann H, Montag M, Krzok G, Endert G (1991) Kummell–Verneuil syndrome. Zentralbl Chir 116:185–192 Assmann H, Montag M, Krzok G, Endert G (1991) Kummell–Verneuil syndrome. Zentralbl Chir 116:185–192
63.
Zurück zum Zitat Chan KK, Sartoris DJ, Haghighi P, Sledge P, Barrett-Connor E, Trudell DT, Resnick D (1997) Cupid’s bow contour of the vertebral body: evaluation of pathogenesis with bone densitometry and imaging—histopathologic correlation. Radiology 202:253–256 Chan KK, Sartoris DJ, Haghighi P, Sledge P, Barrett-Connor E, Trudell DT, Resnick D (1997) Cupid’s bow contour of the vertebral body: evaluation of pathogenesis with bone densitometry and imaging—histopathologic correlation. Radiology 202:253–256
64.
Zurück zum Zitat Neidner F (1932) Zur Kenntnis der normalen und pathologischen Wirbekoerperrandleisten. Fortschr Roentgenstr 46:628 Neidner F (1932) Zur Kenntnis der normalen und pathologischen Wirbekoerperrandleisten. Fortschr Roentgenstr 46:628
65.
Zurück zum Zitat Rea JA, Steiger P, Blake GM, Fogelman I (1998) Optimizing data acquisition and analysis of morphometric X-ray absorptiometry. Osteoporos Int 8:177–183 Rea JA, Steiger P, Blake GM, Fogelman I (1998) Optimizing data acquisition and analysis of morphometric X-ray absorptiometry. Osteoporos Int 8:177–183
66.
Zurück zum Zitat Rea JA, Li J, Blake GM, Steiger P, Genant HK, Fogelman I (2000) Visual assessment of vertebral deformity by X-ray absorptiometry: a highly predictive method to exclude vertebral deformity. Osteoporos Int 11:660–668 Rea JA, Li J, Blake GM, Steiger P, Genant HK, Fogelman I (2000) Visual assessment of vertebral deformity by X-ray absorptiometry: a highly predictive method to exclude vertebral deformity. Osteoporos Int 11:660–668
67.
Zurück zum Zitat Smyth PP, Taylor CJ, Adams JE (1999) Vertebral shape: automatic measurement with active shape models. Radiology 211:571–578 Smyth PP, Taylor CJ, Adams JE (1999) Vertebral shape: automatic measurement with active shape models. Radiology 211:571–578
68.
Zurück zum Zitat Nevitt MC, Thompson DE, Black DM, Rubin SR, Ensrud K, Yates AJ, Cummings SR (2000) Effect of alendronate on limited-activity days and bed-disability days caused by back pain in postmenopausal women with existing vertebral fractures. Fracture Intervention Trial Research Group. Arch Intern Med 160:77–85 Nevitt MC, Thompson DE, Black DM, Rubin SR, Ensrud K, Yates AJ, Cummings SR (2000) Effect of alendronate on limited-activity days and bed-disability days caused by back pain in postmenopausal women with existing vertebral fractures. Fracture Intervention Trial Research Group. Arch Intern Med 160:77–85
69.
Zurück zum Zitat Siris E, Adachi JD, Lu Y, Fuerst T, Crans GG, Wong M, Harper KD, Genant HK (2002) Effects of raloxifene on fracture severity in postmenopausal women with osteoporosis: results from the MORE study. Multiple Outcomes of Raloxifene Evaluation. Osteoporos Int 13:907–913 Siris E, Adachi JD, Lu Y, Fuerst T, Crans GG, Wong M, Harper KD, Genant HK (2002) Effects of raloxifene on fracture severity in postmenopausal women with osteoporosis: results from the MORE study. Multiple Outcomes of Raloxifene Evaluation. Osteoporos Int 13:907–913
70.
Zurück zum Zitat Neer RM, Arnaud CD, Zanchetta JR et al (2001) Effect of parathyroid hormone (1–34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 344:1434–1441 Neer RM, Arnaud CD, Zanchetta JR et al (2001) Effect of parathyroid hormone (1–34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 344:1434–1441
71.
Zurück zum Zitat McClung MR, Geusens P, Miller PD et al (2001) Effect of risedronate on the risk of hip fracture in elderly women. Hip Intervention Program Study Group. N Engl J Med 344:333–340 McClung MR, Geusens P, Miller PD et al (2001) Effect of risedronate on the risk of hip fracture in elderly women. Hip Intervention Program Study Group. N Engl J Med 344:333–340
72.
Zurück zum Zitat Ohlin A, Johnell O (2004) Vertebroplasty and kyphoplasty in the fractured osteoporotic spine. Clin Calcium 14:65–69 Ohlin A, Johnell O (2004) Vertebroplasty and kyphoplasty in the fractured osteoporotic spine. Clin Calcium 14:65–69
Metadaten
Titel
Radiologic assessment of osteoporotic vertebral fractures: diagnostic and prognostic implications
verfasst von
Thomas M. Link
Giuseppe Guglielmi
Cornelis van Kuijk
Judith E. Adams
Publikationsdatum
01.08.2005
Erschienen in
European Radiology / Ausgabe 8/2005
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-2773-2

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