Evidence map›Paper›PMID 22492119›Full record

ReviewCurrent osteoporosis reports2012

Trabecular architecture and vertebral fragility in osteoporosis.

Aaron J Fields, Tony M Keaveny

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current osteoporosis reports, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  9. Review
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  11. Article
  12. Bone Health During the Menopause Transition and Beyond.Obstetrics and gynecology clinics of North America · 2018
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Aaron J FieldsDepartment of Orthopaedic Surgery, University of California, 513 Parnassus Avenue, S-1161, San Francisco, CA, 94143-0514, USA. fieldsa@orthosurg.ucsf.edu
Tony M Keaveny
University of California, Berkeley · USUniversity of California, San Francisco · US

Funding

MULTIAXIAL STRENGTH BEHAVIOR OF HUMAN TRABECULAR BONER01AR043784 · NIAMS · UNIVERSITY OF CALIFORNIA BERKELEY · PI KEAVENY, TONY M · 1996 to 2010
$2.6M
Biomechanics of Spine FractureR01AR049828 · NIAMS · UNIVERSITY OF CALIFORNIA BERKELEY · PI KEAVENY, TONY M · 2004 to 2007
$2.1M
NIAMS NIH HHS AR043784NIAMS NIH HHS AR049828
6 · The paper itself

Abstract

Osteoporosis heightens vertebral fragility owing to the biomechanical effects of diminished bone structure and composition. These biomechanical effects are only partially explained by loss in bone mass, so additional factors that are independent of bone mass are also thought to play an important role in vertebral fragility. Recent advances in imaging equipment, imaging-processing methods, and computational capacity allow researchers to quantify trabecular architecture in the vertebra at the level of the individual trabecular elements and to derive biomechanics-based measures of architecture that are independent of bone mass and density. These advances have shed light on the role of architecture in vertebral fragility. In addition to the adverse biomechanical consequences associated with trabecular thinning and loss of connectivity, a reduction in the number of vertical trabecular plates appears to be particularly harmful to vertebral strength. In the clinic, detailed architecture analysis is primarily applied to peripheral sites such as the distal radius and tibia. Analysis of trabecular architecture at these peripheral sites has shown mixed results for discriminating between patients with and without a vertebral fracture independent of bone mass, but has the potential to provide unique insight into the effects of therapeutic treatments. Overall, it does appear that trabecular architecture has an independent role on vertebral strength. Additional research is required to determine how and where architecture should be measured in vivo and whether assessment of trabecular architecture in a clinical setting improves prospective fracture risk assessment for the vertebra.

Indexed as

Biomechanical PhenomenaBone and BonesBone DensityHumansOsteoporosisSpine

Identifiers

PMID22492119
OpenAlexW2108419446

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.