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ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

Would Roussouly classification affect the diagnostic efficiency of vertebral bone quality score for assessing osteopenia or osteoporosis in lumbar degenerative disease?

Tong Su, Tong Meng, Kangcheng Zhao, Dianwen Song, Weibo Huang, Huabin Yin

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Tong SuShanghai General Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Tong MengShanghai General Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Kangcheng ZhaoShanghai General Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Dianwen SongShanghai General Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China. osongdianwen@126.com.
Weibo HuangShanghai General Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China. weibo.huang@shgh.cn.
Huabin YinShanghai General Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China. yinhuabin0525@163.com.

Funding

Excellence Program of Shanghai Municipal Health Commission 20234Z0020National Natural Science Foundation of China No.81772856the Natural Science Foundation of Shanghai No.22ZR1450500
6 · The paper itself

Abstract

purposeThe aim of this study is to estimate the diagnostic efficiency of VBQ score for assessing osteopenia and osteoporosis in different Roussouly types in lumbar degenerative disease.

methodsWe reviewed the preoperative data of 501 patients with lumbar degenerative diseases who underwent lumbar spine surgery between July 2019 and December 2022 with available T1-weighted magnetic resonance imaging and dual-energy X-ray absorptiometry. Receiver operating characteristic (ROC) curves were plotted to analyze the diagnostic performance of VBQ score in different Roussouly classifications. For each Roussouly type, one-way ANOVA was applied to compare VBQ score across different lumbar segments. Statistical significance was set at P < 0.05.

resultsNo statistical difference was found between the VBQ score of L1, L2, L3 and L4. Lumbar lordosis and sacral slope were not independently associated with VBQ score. According to the ROC curve, Roussouly type 1 to 4 showed AUC of 0.738, 0.799, 0.764 and 0.817, respectively, in diagnosing osteopenia. Roussouly type 1 to 4 showed AUC of 0.690, 0.703, 0.851 and 0.643, respectively, in diagnosing osteoporosis.

conclusionsDifferent Roussouly types would not affect the diagnosis efficiency of VBQ score in diagnosing osteopenia. However, VBQ score showed better performance in diagnosing osteoporosis for Roussouly type 3. When VBQ score was applied as opportunistic screening method for osteoporosis, choosing appropriate patients was important to improve the diagnostic accuracy.

Indexed as

Bone Diseases, MetabolicIntervertebral Disc DegenerationLumbar VertebraeOsteoporosisAbsorptiometry, PhotonAdultAgedBone DensityFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesDEXALumbar degenerative diseaseMRIOsteoporosisRoussouly classificationVBQ score

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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.