Correlation between CT Measurement Parameters of Lumbar Paravertebral Muscles in Postmenopausal Acute Osteoporotic Spinal Compression Fractures
Objective To measure the parameters of lumbar paravertebral muscle degeneration in postmenopausal women acute osteoporotic spinal compression fractures and to explore their correlation with osteoporotic vertebral fractures.Methods The clinical baseline data and CT quantitative measurement data of postmenopausal 84 patients with OVF and 86 patients without OVF(control group)were analyzed retrospectively.Intraclass correlation coeficient(ICC)was used to evaluate the consistency of the parameters of lumbar paravertebral muscle by two radiologists.x 2 test,independent sample t test,and Logistic regression analysis were used to analyze the relationship between acute OVF and lumbar paravertebral muscle.The receiver operating characteristic(ROC)curve was used to analyze the independent influencing factors and predict the efficacy of postmenopausal women acute osteoporotic spinal compression fractures.Results(1)Two radiologists had high consistency in the measurement of CT quantitative measurement data(ICC＞0.875).(2)There were significant differences between age,the largest coronary and sagittal diameter of L1 vertebral body,CSAL1/2,rCSAT12/L1、L1/2、L4/5、L5/s1,FIT12/L1、L1/2、L4/5、L5/s1(P＜0.05).(3)Binary multivariate logistic regression analysis showed rCSAL1/2,FIT12/L1 were independent influencing factors of OVF.(4)The area under the curve of rCSAL1/2 and FIT12/L1 were 0.823、0.852.Conclusion rCSAL1/2 is an independent protective factor for OVF,while FIT12/L1 are independent risk factors for OVF.
NETL
NSTL
万方数据
维普
