<abstract xmlns="http://www.w3.org/1999/xhtml"><p>DXA is a gold-standard method for assessing bone mineral density (BMD) to diagnose osteopenia and osteoporosis. Osteoporosis and degenerative lumbar scoliosis are well-known diseases in adults, which are most often coexistent. This study aimed to assess the prevalence of osteopenia and osteoporosis in 1019 women aged ≥40 years divided into different groups according to the Cobb angle measured from DXA scan images with DICOM software. We found that the incidence of osteoporosis of the lumbar spine and total hip, as well as the incidence of osteopenia of the total hip, increased in the groups according to the Cobb angle. The group with a Cobb angle >10<sup>◦</sup> showed the highest prevalence of osteoporosis. According to the Cobb angle, the incidence of osteopenia of the lumbar spine remained similar in the different groups. The results of the current study show that scoliosis has an essential impact on the interpretation of DXA scans. The BMD’s false elevation, respectively, of the T-score of some vertebrae, could lead to an incorrect final diagnosis. In this case, additional assessment of the hip BMD could be useful for a more accurate interpretation of the results based on the lumbar spine BMD.</p></abstract>

DXA is a gold-standard method for assessing bone mineral density (BMD) to diagnose osteopenia and osteoporosis. Osteoporosis and degenerative lumbar scoliosis are well-known diseases in adults, which are most often coexistent. This study aimed to assess the prevalence of osteopenia and osteoporosis in 1019 women aged ≥40 years divided into different groups according to the Cobb angle measured from DXA scan images with DICOM software. We found that the incidence of osteoporosis of the lumbar spine and total hip, as well as the incidence of osteopenia of the total hip, increased in the groups according to the Cobb angle. The group with a Cobb angle >10◦ showed the highest prevalence of osteoporosis. According to the Cobb angle, the incidence of osteopenia of the lumbar spine remained similar in the different groups. The results of the current study show that scoliosis has an essential impact on the interpretation of DXA scans. The BMD’s false elevation, respectively, of the T-score of some vertebrae, could lead to an incorrect final diagnosis. In this case, additional assessment of the hip BMD could be useful for a more accurate interpretation of the results based on the lumbar spine BMD.

Prevalence of Osteopenia and Osteoporosis in Adult Scoliotic Women Assessed with Dual-Energy X-Ray Absorptiometry (DXA)

Department of Orthopedics and Traumatology

Dr. Georgi Stranski University Hospital – Pleven

Journal of Biomedical and Clinical Research

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

DXA is a gold-standard method for assessing bone mineral density (BMD) to diagnose osteopenia and osteoporosis. Osteoporosis and degenerative lumbar scoliosis...

Prevalence of Osteopenia and Osteoporosis in Adult Scoliotic Women Assessed with Dual-Energy X-Ray Absorptiometry (DXA)

Published Online: Jan 21, 2021

Page range: 28 - 34

Received: Apr 06, 2020

Accepted: Sep 08, 2020

DOI: https://doi.org/10.2478/jbcr-2020-0004

Keywords
DXA, interpretation, scoliosis, osteopenia, osteoporosis

© 2020 Nikola K. Kirilov et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Prevalence of Osteopenia and Osteoporosis in Adult Scoliotic Women Assessed with Dual-Energy X-Ray Absorptiometry (DXA)

Published Online: Jan 21, 2021

Page range: 28 - 34

Received: Apr 06, 2020

Accepted: Sep 08, 2020

DOI: https://doi.org/10.2478/jbcr-2020-0004

KeywordsDXA, interpretation, scoliosis, osteopenia, osteoporosis

© 2020 Nikola K. Kirilov et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
DXA, interpretation, scoliosis, osteopenia, osteoporosis