Multilevel “fish‐vertebra” sign in a patient with idiopathic osteoporosis

Vasiliadis, Angelo V.; Valanos, Ioannis; Valanos, Nikolaos; Mpeletsiotis, Anastasios

doi:10.1002/ccr3.4250

Cited by 1 publication

(1 citation statement)

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“…Additionally, our results disclosed that the prevalence of deformity change was the highest in the biconcave type. Biconcave-type deformity also referred to as ‘codfish vertebra,’ was associated with multilevel VFs in severe osteoporosis [ 18 ]. Jones et al [ 19 ] evaluated the relationship between vertebral deformities and BMD and reported that BMD was strongly associated with the occurrence of biconcave-type deformities than wedge- or crush-type deformities.…”

Section: Discussionmentioning

confidence: 99%

Progression of vertebral deformity of prevalent vertebral fractures in the elderly: a population-based study

Akeda,

Nakase,

Yamada

et al. 2024

BMC Musculoskelet Disord

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Background Little is known about the progression pattern of vertebral deformities in elderly patients with prevalent vertebral fractures. This population-based cohort study investigated the incidence, progression pattern, and risk factors of vertebral deformity in prevalent vertebral fractures over a finite period of four years in a population-based cohort study. Methods A total of 224 inhabitants of a typical mountain village underwent medical examinations every second year from 1997 to 2009, and each participant was followed up for four years. The extent (mild, moderate, severe) and type (wedge, biconcave, crush) of prevalent vertebral fractures on spinal radiographs were evaluated using the Genant semi-quantitative method. Of these participants, 116 with prevalent vertebral fractures at baseline (32 men and 84 women; mean age: 70.0 years) were included in this study. The progression patterns of the 187 vertebral fractures with mild and moderate deformities (except severe deformity) were evaluated. Logistic regression analysis was used to identify the risk factors associated with deformity progression. Results The progression of vertebral deformities was identified in 13.4% (25 vertebral fractures) of the total 187 prevalent (mild and moderate) vertebral fracture deformities over four years. Among the three deformity types, the prevalence of deformity progression was significantly lower in wedge-type vertebral fractures (P < 0.05). Age and number of prevalent vertebral fractures per participant were independent risk factors associated with the progression of prevalent vertebral deformities. Conclusion This study clarified the natural history of the progression pattern of vertebral deformities in radiographic prevalent vertebral fractures in elderly individuals. Multiple vertebral fractures in the elderly present a risk for the progression of vertebral deformities.

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Section: Discussionmentioning

confidence: 99%