BMI and gender increase risk of sacral fractures after multilevel instrumented spinal fusion compared with bone mineral density and pelvic parameters

2019 ◽  
Vol 19 (2) ◽  
pp. 238-245 ◽  
Author(s):  
Stephan N. Salzmann ◽  
Courtney Ortiz Miller ◽  
John A. Carrino ◽  
Jingyan Yang ◽  
Jennifer Shue ◽  
...  
Author(s):  
Narayan Yoganandan ◽  
Frank A. Pintar ◽  
Recai Aktay ◽  
Glenn Paskoff ◽  
Barry S. Shender

While numerous studies exist quantifying the bone mineral content of the human lumber vertebrae, such information is not available for the cervical spine. This study determined the bone mineral densities of cervical vertebrae. Adult healthy human volunteers, ages ranging from 18 to 40 years, underwent quantitative computed tomography scanning of the neck. BMD data were divided according to subject weight (above and below 50th percentile, termed low and heavy mass) and gender. Low-mass subjects did not consistently have higher bone mineral density at all levels of the cervical column. Bone mineral were higher (259 ± 6 mg/cc) for females than males (247 ± 8 mg/cc); for the entire ensemble the mean density was 253 ± 9 mg/cc. Altered strength of cervical vertebrae coupled with the increased mobility of the disc at the inferior levels of the neck may explain regional biomechanical differences and subsequent physiologic effects secondary to aging. This study quantifies BMD of the human neck vertebrae and offers explanations to the biomechanical behaviors of the human cervical spine.


2005 ◽  
Vol 0 (0) ◽  
pp. 060721082338049
Author(s):  
M. Y. M. Ng ◽  
P. C. Sham ◽  
A. D. Paterson ◽  
V. Chan ◽  
A. W. C. Kung

Spine ◽  
1995 ◽  
Vol 20 (15) ◽  
pp. 1674-1678 ◽  
Author(s):  
G. Mitchell Bogdanffy ◽  
Donna D. Ohnmeiss ◽  
Richard D. Guyer

2009 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Byung-Hak Kim ◽  
Heun-Guyn Jung ◽  
Kyung-Ho Park ◽  
Dae-Hee Kim ◽  
Yong-Soo Choi

2006 ◽  
Vol 70 (4) ◽  
pp. 428-438 ◽  
Author(s):  
M. Y. M. Ng ◽  
P. C. Sham ◽  
A. D. Paterson ◽  
V. Chan ◽  
A. W. C. Kung

2004 ◽  
Vol 19 (4) ◽  
pp. 370-376 ◽  
Author(s):  
Cyrus Khodadadyan-Klostermann ◽  
Max von Seebach ◽  
William R. Taylor ◽  
Georg N. Duda ◽  
Norbert P. Haas

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Þröstur Pétursson ◽  
Kyle Joseph Edmunds ◽  
Magnús Kjartan Gíslason ◽  
Benedikt Magnússon ◽  
Gígja Magnúsdóttir ◽  
...  

The variability in patient outcome and propensity for surgical complications in total hip replacement (THR) necessitates the development of a comprehensive, quantitative methodology for prescribing the optimal type of prosthetic stem: cemented or cementless. The objective of the research presented herein was to describe a novel approach to this problem as a first step towards creating a patient-specific, presurgical application for determining the optimal prosthesis procedure. Finite element analysis (FEA) and bone mineral density (BMD) calculations were performed with ten voluntary primary THR patients to estimate the status of their operative femurs before surgery. A compilation model of the press-fitting procedure was generated to define a fracture risk index (FRI) from incurred forces on the periprosthetic femoral head. Comparing these values to patient age, sex, and gender elicited a high degree of variability between patients grouped by implant procedure, reinforcing the notion that age and gender alone are poor indicators for prescribing prosthesis type. Additionally, correlating FRI and BMD measurements indicated that at least two of the ten patients may have received nonideal implants. This investigation highlights the utility of our model as a foundation for presurgical software applications to assist orthopedic surgeons with selecting THR prostheses.


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