A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance Imaging
Background. Elderly female patients complaints of acute low back pain (LBP) may involve vertebral fracture (VF), among which occult VF (OVF: early-stage VF without any morphological change) is often missed to be detected by primary X-ray examination. The current study aimed to investigate the preval...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2017/9265259 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832568408998150144 |
|---|---|
| author | Atsushi Terakado Sumihisa Orita Kazuhide Inage Go Kubota Tomohiro Kanzaki Hiroshi Mori Yuji Shinohara Junichi Nakamura Yusuke Matsuura Yasuchika Aoki Takeo Furuya Masao Koda Seiji Ohtori |
| author_facet | Atsushi Terakado Sumihisa Orita Kazuhide Inage Go Kubota Tomohiro Kanzaki Hiroshi Mori Yuji Shinohara Junichi Nakamura Yusuke Matsuura Yasuchika Aoki Takeo Furuya Masao Koda Seiji Ohtori |
| author_sort | Atsushi Terakado |
| collection | DOAJ |
| description | Background. Elderly female patients complaints of acute low back pain (LBP) may involve vertebral fracture (VF), among which occult VF (OVF: early-stage VF without any morphological change) is often missed to be detected by primary X-ray examination. The current study aimed to investigate the prevalence of VF and OVF and the diagnostic accuracy of the initial X-ray in detecting OVF. Method. Subjects were elderly women (>70 years old) complaining of acute LBP with an accurate onset date. Subjects underwent lumbar X-ray, magnetic resonance imaging (MRI), and bone mineral density (BMD) measurement at their first visit. The distribution of radiological findings from X-ray and magnetic resonance imaging (MRI) as well as the calculation of the prevalence of VF and OVF are investigated. Results. The prevalence of VF among elderly women with LBP was 76.5% and L1 was the most commonly injured level. Among VF cases, the prevalence of OVF was 33.3%. Furthermore, osteoporotic patients tend to show increased prevalence of VF (87.5%). The predictive values in detecting VF on the initial plain X-ray were as follows: sensitivity, 51.3%; specificity, 75.0%; and accuracy rate, 56.7%. Conclusions. Acute LBP patients may suffer vertebral injury with almost no morphologic change in X-ray, which can be detected using MRI. |
| format | Article |
| id | doaj-art-110e548c94bc4e81a28075885c84b0c5 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-110e548c94bc4e81a28075885c84b0c52025-02-03T00:59:04ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/92652599265259A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance ImagingAtsushi Terakado0Sumihisa Orita1Kazuhide Inage2Go Kubota3Tomohiro Kanzaki4Hiroshi Mori5Yuji Shinohara6Junichi Nakamura7Yusuke Matsuura8Yasuchika Aoki9Takeo Furuya10Masao Koda11Seiji Ohtori12Kitachiba Spine and Sports Clinic, Chiba, JapanKitachiba Spine and Sports Clinic, Chiba, JapanKitachiba Spine and Sports Clinic, Chiba, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanKitachiba Spine and Sports Clinic, Chiba, JapanKitachiba Spine and Sports Clinic, Chiba, JapanKitachiba Spine and Sports Clinic, Chiba, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanBackground. Elderly female patients complaints of acute low back pain (LBP) may involve vertebral fracture (VF), among which occult VF (OVF: early-stage VF without any morphological change) is often missed to be detected by primary X-ray examination. The current study aimed to investigate the prevalence of VF and OVF and the diagnostic accuracy of the initial X-ray in detecting OVF. Method. Subjects were elderly women (>70 years old) complaining of acute LBP with an accurate onset date. Subjects underwent lumbar X-ray, magnetic resonance imaging (MRI), and bone mineral density (BMD) measurement at their first visit. The distribution of radiological findings from X-ray and magnetic resonance imaging (MRI) as well as the calculation of the prevalence of VF and OVF are investigated. Results. The prevalence of VF among elderly women with LBP was 76.5% and L1 was the most commonly injured level. Among VF cases, the prevalence of OVF was 33.3%. Furthermore, osteoporotic patients tend to show increased prevalence of VF (87.5%). The predictive values in detecting VF on the initial plain X-ray were as follows: sensitivity, 51.3%; specificity, 75.0%; and accuracy rate, 56.7%. Conclusions. Acute LBP patients may suffer vertebral injury with almost no morphologic change in X-ray, which can be detected using MRI.http://dx.doi.org/10.1155/2017/9265259 |
| spellingShingle | Atsushi Terakado Sumihisa Orita Kazuhide Inage Go Kubota Tomohiro Kanzaki Hiroshi Mori Yuji Shinohara Junichi Nakamura Yusuke Matsuura Yasuchika Aoki Takeo Furuya Masao Koda Seiji Ohtori A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance Imaging Pain Research and Management |
| title | A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance Imaging |
| title_full | A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance Imaging |
| title_fullStr | A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance Imaging |
| title_full_unstemmed | A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance Imaging |
| title_short | A Clinical Prospective Observational Cohort Study on the Prevalence and Primary Diagnostic Accuracy of Occult Vertebral Fractures in Aged Women with Acute Lower Back Pain Using Magnetic Resonance Imaging |
| title_sort | clinical prospective observational cohort study on the prevalence and primary diagnostic accuracy of occult vertebral fractures in aged women with acute lower back pain using magnetic resonance imaging |
| url | http://dx.doi.org/10.1155/2017/9265259 |
| work_keys_str_mv | AT atsushiterakado aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT sumihisaorita aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT kazuhideinage aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT gokubota aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT tomohirokanzaki aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT hiroshimori aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT yujishinohara aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT junichinakamura aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT yusukematsuura aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT yasuchikaaoki aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT takeofuruya aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT masaokoda aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT seijiohtori aclinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT atsushiterakado clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT sumihisaorita clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT kazuhideinage clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT gokubota clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT tomohirokanzaki clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT hiroshimori clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT yujishinohara clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT junichinakamura clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT yusukematsuura clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT yasuchikaaoki clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT takeofuruya clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT masaokoda clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging AT seijiohtori clinicalprospectiveobservationalcohortstudyontheprevalenceandprimarydiagnosticaccuracyofoccultvertebralfracturesinagedwomenwithacutelowerbackpainusingmagneticresonanceimaging |