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Along with region-specific kyphotic angles and anthropometric indicators, the combination of thoracic and lumbar kyphotic angles offered the highest accuracy.\nIntroduction\nVertebral fractures have been associated with thoracic kyphosis. However, reports on lumbar kyphotic changes in association with vertebral fracture are scarce. This study investigated the accuracy of thoracic kyphotic angle (TKA) and lumbar kyphotic angle (LKA) measurements as well as anthropometric indicators (wall?occiput distance (WOD) and rib?pelvis distance (RPD)) in discriminating patients with vertebral fracture.\nMethods\nLateral radiographs of the spine were obtained in 70 postmenopausal Japanese women who visited an orthopedic clinic with low back pain (mean age, 76.2?±?9.0 years). Radiographic vertebral fracture was diagnosed using quantitative measurement according to Japanese criteria. Osteoarthritis (OA) was defined as Kellgren?Lawrence (KL) grade 3 or higher. TKA and LKA were measured using SpinalMouseR. WOD and RPD were also measured.\nResults\nAt least one vertebral fracture was present in 49 subjects (70 %). Women with vertebral fractures showed significant increases in LKA, TKA?+?LKA, and WOD and decreases in RPD. Logistic regression analysis showed significant association between TKA?+?LKA and vertebral fracture independent of the presence of OA. Receiver operating characteristic analysis revealed that TKA was useful for discriminating thoracic fractures (area under the curve (AUC), 0.730) and LKA was useful for lumbar fractures (AUC, 0.691). The combination of TKA?+?LKA offered the highest accuracy for detecting thoracic, lumbar, and any vertebral fractures, with AUCs of 0.779, 0.728, and 0.783, respectively. WOD and RPD showed low-to-moderate accuracies for thoracic, lumbar, and any vertebral fractures.\nConclusions\nAssessment of spinal kyphosis by SpinalMouseR as well as anthropometric indicators proved useful in discriminating subjects with vertebral fractures. 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Accuracy of spinal curvature assessed by a computer-assisted device and anthropometric indicators in discriminating vertebral fractures among individuals with back pain
http://hdl.handle.net/10069/36106
http://hdl.handle.net/10069/361069ef0d981-df5b-4f7a-830d-6355d1fac2d5
名前 / ファイル | ライセンス | アクション |
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ISYK703_Mizukami.pdf (429.6 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2016-01-18 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Accuracy of spinal curvature assessed by a computer-assisted device and anthropometric indicators in discriminating vertebral fractures among individuals with back pain | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Lumbar kyphotic angle (LKA) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Osteoporosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Rib?pelvis distance (RPD) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Thoracic kyphotic angle (TKA) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Vertebral fracture | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Wall?occiput distance (WOD) | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
水上, 諭
× 水上, 諭 |
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著者別名 | ||||||
姓名 | Mizukami, Satoshi | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Summary This study examined the accuracy of thoracic and lumbar kyphotic angles as well as anthropometric indicators for discriminating patients with vertebral fracture among Japanese women >50 years old with back pain. Along with region-specific kyphotic angles and anthropometric indicators, the combination of thoracic and lumbar kyphotic angles offered the highest accuracy. Introduction Vertebral fractures have been associated with thoracic kyphosis. However, reports on lumbar kyphotic changes in association with vertebral fracture are scarce. This study investigated the accuracy of thoracic kyphotic angle (TKA) and lumbar kyphotic angle (LKA) measurements as well as anthropometric indicators (wall?occiput distance (WOD) and rib?pelvis distance (RPD)) in discriminating patients with vertebral fracture. Methods Lateral radiographs of the spine were obtained in 70 postmenopausal Japanese women who visited an orthopedic clinic with low back pain (mean age, 76.2?±?9.0 years). Radiographic vertebral fracture was diagnosed using quantitative measurement according to Japanese criteria. Osteoarthritis (OA) was defined as Kellgren?Lawrence (KL) grade 3 or higher. TKA and LKA were measured using SpinalMouseR. WOD and RPD were also measured. Results At least one vertebral fracture was present in 49 subjects (70 %). Women with vertebral fractures showed significant increases in LKA, TKA?+?LKA, and WOD and decreases in RPD. Logistic regression analysis showed significant association between TKA?+?LKA and vertebral fracture independent of the presence of OA. Receiver operating characteristic analysis revealed that TKA was useful for discriminating thoracic fractures (area under the curve (AUC), 0.730) and LKA was useful for lumbar fractures (AUC, 0.691). The combination of TKA?+?LKA offered the highest accuracy for detecting thoracic, lumbar, and any vertebral fractures, with AUCs of 0.779, 0.728, and 0.783, respectively. WOD and RPD showed low-to-moderate accuracies for thoracic, lumbar, and any vertebral fractures. Conclusions Assessment of spinal kyphosis by SpinalMouseR as well as anthropometric indicators proved useful in discriminating subjects with vertebral fractures. These convenient and radiation-free methods could contribute to early diagnosis of vertebral fractures and subsequent appropriate treatment, thus preventing additional osteoporotic fractures. |
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内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 長崎大学学位論文 学位記番号:博(医歯薬)甲第703号 学位授与年月日:平成26年9月3日 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Author: Satoshi Mizukami, Yasuyo Abe, Ritsu Tsujimoto, Kazuhiko Arima, Mitsuo Kanagae, Goji Chiba, Kiyoshi Aoyagi | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Citation: Osteoporosis International, 25(6), pp.1727-2734; 2014 | |||||
書誌情報 |
Osteoporosis International 巻 25, 号 6, p. 1727-1734, 発行日 2014-09-03 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0937941X | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 14332965 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1007/s00198-014-2680-y | |||||
権利 | ||||||
権利情報 | c International Osteoporosis Foundation and National Osteoporosis Foundation 2014. | |||||
権利 | ||||||
権利情報 | The original publication is available at link.springer.com | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | 腰痛患者における脊椎椎体骨折スクリーニング~SpinalMouseRによる脊椎弯曲評価と身体測定指標~ | |||||
出版者 | ||||||
出版者 | Springer London | |||||
関係URI | ||||||
識別子タイプ | HDL | |||||
関連識別子 | http://hdl.handle.net/10069/34875 | |||||
学位名 | ||||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 17301 | |||||
学位授与機関名 | Nagasaki University (長崎大学) | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2014-09-03 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲医歯薬第703号 | |||||
学位の種類 | ||||||
課程博士 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Nagasaki University (長崎大学), 博士(医学) (2014-09-03) |