Evidence map›Paper›PMID 40636709›Full record

ArticleArthroplasty today2025

Relationship Between Lumbar Spine Hounsfield Unit Values and Bone Mineral Density in Patients With Osteoarthritis Undergoing Total Hip Arthroplasty.

Masanori Nishi, Yasushi Yoshikawa, Ichiro Okano, Yuki Usui, Hajime Nishida, Shota Nakamura, Koichiro Tashiro, Yoshifumi Kudo

Abstract read
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Masanori NishiDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.
Yasushi YoshikawaDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.
Ichiro OkanoDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.
Yuki UsuiDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.
Hajime NishidaDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.
Shota NakamuraDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.
Koichiro TashiroDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.
Yoshifumi KudoDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hip osteoarthritis (OA) and osteoporosis often coexist, complicating bone mineral density (BMD) assessment because of degenerative changes. We aimed to examine the utility of lumbar spine Hounsfield unit (HU) values in patients with hip OA undergoing total hip arthroplasty (THA). Methods: This study included patients with hip OA who underwent primary THA and preoperative BMD measurements with dual-energy X-ray absorptiometry. BMD was measured in the total hip (TH), femoral neck, lumbar spine (L2-L4), and distal radius. HU values at L4 and L5 were evaluated using preoperative computed tomography of the hip joints for 3-dimensional preoperative planning. To assess the effect of arthritis and deformity, we compared the hips of those with and without OA. Correlation coefficients were used to assess the relationship between the HU values and T-scores. Results: Overall, 218 hips were analyzed. Moderate correlations were found between lumbar HU values and T-scores at all measurement sites, with the strongest correlations between L5 HU values and T-scores of the nonarthritic TH (rho = 0.64, Conclusions: Lumbar HU values moderately correlated with BMD at all measurement sites, especially at the TH. This may serve as a useful screening tool for osteoporosis before THA in patients with hip OA.

Indexed as

Bone mineral densityHounsfield unitOsteoarthritisOsteoporosisTotal hip arthroplasty

Identifiers

PMID40636709
PMCPMC12240086

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