Evidence map›Paper›PMID 41528488›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

Trabecular and cortical bone mineral density in human vertebrae: comparison of frozen and thawed States with qCT.

Titus Kühlein, Adrian Cavalcanti Kußmaul, Sandy Walter, Jan Wulf, Richard Zaccaria, Paul Reidler, Wolfgang Böcker, Christoph Linhart

Abstract readComparative Study
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. 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

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

1 citing paper in PubMed.

  1. Article
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.

Titus KühleinDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Adrian Cavalcanti KußmaulDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Sandy WalterDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Jan WulfDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Richard ZaccariaDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Paul ReidlerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Wolfgang BöckerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Christoph LinhartDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. christoph.linhart@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBone mineral density (BMD) is a key determinant of skeletal strength, relevant in many disciplines. Freezing is widely used to preserve cadaveric bone, but its effect on BMD remains controversal. This study assessed whether a vBMD is altered in frozen versus thawed state of human vertebral bodies measured by quantitative computed tomography (qCT). MATERIALS AND

methodsThirty-three human vertebrae (14 C7, 9 Th1, 10 Th2) were stored at - 20 °C. Trabecular and cortical vBMD were measured in the frozen state (- 15 to - 20 °C) using qCT with a calibration phantom. After thawing overnight at room temperature, identical scans were performed. Paired t-tests and Pearson correlation coefficients compared frozen and thawed values.

resultsOne trabecular specimen was excluded as an outlier. Mean trabecular volometeic bone mineral density (vBMD) was 154.68 mg Ca-HA/ml (frozen) vs. 148.93 mg Ca-HA/ml (thawed), mean difference - 5.74 mg Ca-HA/ml (p = 0.164). Cortical vBMD was 219.56 mg Ca-HA/ml (frozen) vs. 219.90 mg Ca-HA/ml (thawed), mean difference 0.34 mg Ca-HA/ml (p = 0.948). Correlations between frozen and thawed values were strong (r = 0.89 trabecular; r = 0.94 cortical).

conclusionA single freeze-thaw cycle at - 20 °C does not significantly alter cortical or trabecular vBMD in human vertebral bodies measured by qCT. These results support the measurement of BMD of frozen specimens, minimizing handling and avoiding unnecessary thawing in research and forensic settings.

Indexed as

Bone DensityCancellous BoneCortical BoneCryopreservationFreezingAgedCadaverFemaleHumansMaleMiddle AgedTomography, X-Ray ComputedBone preservationBone quality assessmentForensic osteologyFreeze-Thaw cycleOsteoporosisQuantitative computed tomography (qCT)Trabecular and cortical boneVolumetric bone mineral density (vBMD)

Identifiers

PMID41528488
PMCPMC12799734

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