Evidence map›Paper›PMID 30421154›Full record

ArticleArchives of osteoporosis2018

Correspondence between bone mineral density and intervertebral disc degeneration across age and sex.

Jarred Kaiser, Brett Allaire, Paul M Fein, Darlene Lu, Mohamed Jarraya, Ali Guermazi, Serkalem Demissie, Elizabeth J Samelson, Mary L Bouxsein, Elise F Morgan

Abstract read
In one paragraph

Article in Archives of osteoporosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Does vertebral osteoporosis delay or accelerate lumbar disc degeneration? A systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
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  10. Association of vertebral fractures with worsening degenerative changes of the spine: a longitudinal study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
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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

10 authors at 4 institutions in 1 country.

Jarred KaiserDepartment of Mechanical Engineering, Boston University, 110 Cummington Street, Boston, MA, 02215, USA. jmkaiser@bu.edu.
Brett AllaireCenter for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Paul M FeinDepartment of Mechanical Engineering, Boston University, 110 Cummington Street, Boston, MA, 02215, USA.
Darlene LuDepartment of Biostatistics, Boston University, Boston, MA, USA.
Mohamed JarrayaBoston University School of Medicine, Boston, MA, USA.
Ali GuermaziBoston University School of Medicine, Boston, MA, USA.
Serkalem DemissieDepartment of Biostatistics, Boston University, Boston, MA, USA.
Elizabeth J SamelsonInstitute for Aging Research, Hebrew Senior Life, Boston, MA, USA.
Mary L BouxseinCenter for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Elise F MorganDepartment of Mechanical Engineering, Boston University, 110 Cummington Street, Boston, MA, 02215, USA.
Boston University · USBeth Israel Deaconess Medical Center · USCatholic Medical Center · USHebrew SeniorLife · US

Funding

3-D Visualization and Prediction of Vertebral FracturesR01AR054620 · NIAMS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI MORGAN, ELISE F · 2008 to 2025
$6.7M
Biomechanics of Vertebral Fracture: The Framingham QCT StudyR01AR053986 · NIAMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BOUXSEIN, MARY L · 2007 to 2016
$5.4M
Mechansims and Clinical Importance of Hyperkyphosis:The Framingham StudyR01AG041658 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI SAMELSON, ELIZABETH J · 2011 to 2015
$2.6M
Volumetric Bone Density and Vascular Calcification: The Framingham QCT StudyK01AR053118 · NIAMS · HEBREW REHABILITATION CENTER FOR AGED · PI SAMELSON, ELIZABETH J · 2007 to 2011
$481k
3-D Visualization and Prediction of Vertebral FracturesR56AR054620 · NIAMS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI MORGAN, ELISE F · 2013 to 2013
$364k
NIAMS NIH HHS K01 AR053118NIAMS NIH HHS R01 AR053986NIAMS NIH HHS R01 AR054620NIAMS NIH HHS R56 AR054620NIA NIH HHS R01 AG041658
6 · The paper itself

Abstract

The distribution of bone tissue within the vertebra can modulate vertebral strength independently of average density and may change with age and disc degeneration. Our results show that the age-associated decrease in bone density is spatially non-uniform and associated with disc health, suggesting a mechanistic interplay between disc and vertebra. PURPOSE: While the decline of bone mineral density (BMD) in the aging spine is well established, the extent to which age influences BMD distribution within the vertebra is less clear. Measures of regional BMD (rBMD) may improve predictions of vertebral strength and suggest how vertebrae might adapt with intervertebral disc degeneration. Thus, we aimed to assess how rBMD values were associated with age, sex, and disc height loss (DHL).

methodsWe measured rBMD in the L3 vertebra of 377 participants from the Framingham Heart Study (41-83 years, 181 M/196 F). Integral (Int.BMD) and trabecular BMD (Tb.BMD) were measured from QCT images. rBMD ratios (anterior/posterior, superior/mid-transverse, inferior/mid-transverse, and central/outer) were calculated from the centrum. A radiologist assigned a DHL severity score to adjacent intervertebral discs (L2-L3 and L3-L4).

resultsInt.BMD and Tb.BMD were both associated with age, though the decrease across age was greater in women (Int.BMD, - 2.6 mg/cm

conclusionsOur results indicate that the distribution of bone within the L3 vertebra is different across age, but not between sexes, and is associated with disc degeneration.

Indexed as

Age FactorsBone DensitySex FactorsAdultAgedAged, 80 and overAgingFemaleHumansIntervertebral DiscIntervertebral Disc DegenerationLumbar VertebraeMaleMiddle AgedTomography, X-Ray ComputedAgingIntervertebral disc degenerationVertebral BMD

Identifiers

PMID30421154
PMCPMC6291246
OpenAlexW2901834597

What OpenQuestion holds

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Registered trials

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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.