Incidental identification of vertebral compression fractures in patients over 60 years old using computed tomography scans showing the entire thoraco-lumbar spine
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Vertebral compression fractures (VCF) are frequently asymptomatic; incidental diagnosis is a valuable opportunity to identify low bone mass and to start treatment. We aimed to determine the proportion of patients over 60 years old evaluated with chest plus abdominal and pelvic computed tomography (CT) scans, allowing visualization of the entire thoraco-lumbar spine, who incidentally present VCF.
Materials and methods
We evaluated 300 patients over 60 years old who under went chest plus abdominal and pelvic CT scans. Using sagittal reformats we looked for VCF using the method described by Genant. Accordingly, VCF were classified into mild, moderate or severe. We also determined the percentage of VCF described in the radiological reports.
In our cohort [median age 72.5 years (61–94)], 45.67% were males and 54.33% were females. In total, 43 patients (14.33%) had at least one VCF; 32 (10.67%) had one VCF, whereas 11 (3.67%) exhibited multiple VCF, with a total of 84 fractures. 42 were mild fractures, 29 moderate and 13 severe. The proportion of males (13.87%) and females (14.72%) with VCF was not different (p = 0.83). Patients with VCF were older than those without VCF (p < 0.01). Only age but not sex was independently associated with the presence of VCF. Only 32.56% of patients we identified as having a VCF had a description in their report (14 patients).
An important proportion of patients over 60 years old evaluated with chest plus abdominal and pelvic CT scans present VCF. The reporting of these VCF is insufficient; radiologists and clinicians should include their detection in their search pattern.
KeywordsVertebral compression fractures Opportunistic screening Osteoporosis Computed tomography scans Sagittal reformations Spinal fractures
There is no funding source.
Compliance with ethical standards
Conflict of interest
Author Julio Urrutia, co-author Pablo Besa, and co-author Cristobal Piza declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
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