{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:24:28Z","timestamp":1740180268501,"version":"3.37.3"},"reference-count":23,"publisher":"The Korean Spinal Neurosurgery Society","issue":"3","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Hebei Provincial Department of Finance, China"},{"DOI":"10.13039\/501100003787","name":"Natural Science Foundation of Hebei Province","doi-asserted-by":"publisher","award":["H2020206656"],"award-info":[{"award-number":["H2020206656"]}],"id":[{"id":"10.13039\/501100003787","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["e-neurospine.org"],"crossmark-restriction":true},"short-container-title":["Neurospine"],"published-print":{"date-parts":[[2024,9,30]]},"abstract":"<jats:p>Objective: To investigate the ability of radiological parameter canal bone ratio (CBR) to assess bone mineral density and to differentiate between patients with primary and multiple osteoporotic vertebral compression fracture (OVCF).Methods: A retrospective analysis was conducted on OVCF patients treated at our hospital. CBR was measured through full-spine x-rays. Patients were categorized into primary and multiple fracture groups. Receiver operating characteristic curve analysis and area under the curve (AUC) calculation were used to assess the ability of parameters to predict osteoporosis and multiple fractures. Predictors of T values were analyzed by multiple linear regression, and independent risk factors for multiple fractures were determined by multiple logistic regression analysis.Results: CBR showed a moderate negative correlation with dual-energy x-ray absorptiometry T values (r = -0.642, p &lt; 0.01). Higher CBR (odds ratio [OR], -6.483; 95% confidence interval [CI], -8.234 to -4.732; p &lt; 0.01) and lower body mass index (OR, 0.054; 95% CI, 0.023\u20130.086; p &lt; 0.01) were independent risk factors for osteoporosis. Patients with multiple fractures had lower T values (mean \u00b1 standard deviation [SD]: -3.76 \u00b1 0.73 vs. -2.83 \u00b1 0.75, p &lt; 0.01) and higher CBR (mean \u00b1 SD: 0.54 \u00b1 0.07 vs. 0.46 \u00b1 0.06, p &lt; 0.01). CBR had an AUC of 0.819 in predicting multiple fractures with a threshold of 0.53. T values prediction had an AUC of 0.816 with a threshold of -3.45. CBR &gt; 0.53 was an independent risk factor for multiple fractures (OR, 14.66; 95% CI, 4.97\u201343.22; p &lt; 0.01).Conclusion: CBR is negatively correlated with bone mineral density (BMD) and can be a novel opportunistic BMD assessment method. It is a simple and effective measurement index for predicting multiple fractures, with predictive performance not inferior to T values.<\/jats:p>","DOI":"10.14245\/ns.2448310.155","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:30:29Z","timestamp":1727397029000},"page":"966-972","update-policy":"https:\/\/doi.org\/10.14245\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utility of Radiographic Parameter in Assessing Bone Density and Subsequent Fractures in Patients With Osteoporotic Vertebral Compression Fracture"],"prefix":"10.14245","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7390-4613","authenticated-orcid":true,"given":"Yunsheng","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1275-2832","authenticated-orcid":true,"given":"Mei","family":"Dong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1543-3596","authenticated-orcid":true,"given":"Jiali","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-6861","authenticated-orcid":true,"given":"Dechao","family":"Miao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8925-0086","authenticated-orcid":true,"given":"Feng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1430-6452","authenticated-orcid":true,"given":"Tong","family":"Tong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0074-6043","authenticated-orcid":true,"given":"Linfeng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5355","reference":[{"key":"ref1","first-page":"E280","volume-title":"Mortality and cause of death in patients with vertebral fractures: a longitudinal follow-up study using a national sample 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cortical thickness index predicts fragility fracture in Gaucher disease","author":"D\u2019Amore","year":"2023"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2021.03.014"},{"key":"ref23","first-page":"1502","volume-title":"The effectiveness of full-body eos compared with conventional chest x-ray in preoperative evaluation of the chest for patients undergoing spine operations: a preliminary study","author":"Hey","year":"2018"}],"container-title":["Neurospine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-neurospine.org\/upload\/pdf\/ns-2448310-155.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-neurospine.org\/journal\/view.php?doi=10.14245\/ns.2448310.155","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-neurospine.org\/upload\/pdf\/ns-2448310-155.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T23:09:29Z","timestamp":1727651369000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-neurospine.org\/journal\/view.php?doi=10.14245\/ns.2448310.155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.14245\/ns.2448310.155","relation":{},"ISSN":["2586-6583","2586-6591"],"issn-type":[{"type":"print","value":"2586-6583"},{"type":"electronic","value":"2586-6591"}],"subject":[],"published":{"date-parts":[[2024,9,30]]},"assertion":[{"value":"2024-03-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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