Prediction of the compressive strength of vertebral bodies of the lumbar spine by quantitative computed tomography

wbldb

Biggemann, Martin¹; Hilweg, Dietrich¹; Brinckmann, Paul²

Prediction of the compressive strength of vertebral bodies of the lumbar spine by quantitative computed tomography

Skeletal Radiol. June 1988;17(4):264-269

©1988 International Skeletal Society

Affiliations

¹Radiologische Klinik und Strahleninstitut, Evangelisches Krankenhaus Bethesda, Duisburg 1, FRG

²Institut für Experimentelle Biomechanik, Universität Münster, FRG
Abstract and keywords

The ultimate compressive strength of 36 thoracolumbar vertebrae was determined experimentally. In addition, the trabecular bone mineral content was measured by single energy quantitative computed tomography. The areas of fractured endplates were also determined by computed tomography. The results show that a linear relationship exists between the compressive strength and the product of bone density and endplate area. These data allow an in vivo prediction of vertebral body strength using a noninvasive method with a standard error of estimate amounting to less than 0.95 kN.

Keywords: Lumbar vertebrae; Quantitative computed tomography; Prediction of compressive strength
Links

DOI: 10.1007/BF00401809

PubMed: 3212488

WoS: A1988P095800006

Cited Works (6)

Year	Entry
1966	Weaver JK, Chalmers J. Cancellous bone: its strength and changes with aging and an evaluation of some methods for measuring its mineral content, I: age changes in cancellous bone. J Bone Joint Surg. March 1966;48A(2):289-298.
1976	Carter DR, Hayes WC. Fatigue life of compact bone, I: effects of stress amplitude, temperature and density. J Biomech. 1976;9(1):27-34.
1967	Bell GH, Dunbar O, Beck JS, Gibb A. Variations in strength of vertebrae with age and their relation to osteoporosis. Calcif Tiss Res. 1967;1(1):75-86.
1980	Lindsay R, Hart DM, Forrest C, Baird C. Prevention of spinal osteoporosis in oophorectomised women. Lancet. November 29, 1980;2(8205):1151-1154.
1982	Genant HK, Cann CE, Ettinger B, Gordan GS. Quantitative computed tomography of vertebral spongiosa: a sensitive method for detecting early bone loss after oophorectomy. Ann Intern Med. 1982;97(5):699-705.
1985	McBroom RJ, Hayes WC, Edwards WT, Goldberg RP, White AA III. Prediction of vertebral body compressive fracture using quantitative computed tomography. J Bone Joint Surg. 1985;67A(8):1206-1214.

Cited By (27)

Year	Entry
2001	Villarraga ML, Ford CM. Applications of bone mechanics. In: Cowin SC, ed. Bone Mechanics Handbook. 2nd ed. Boca Raton, FL: CRC Press; 2001:33-1–33-33.
1989	Mosekilde L, Bentzen SM, Ørtoft G, Jørgensen J. The predictive value of quantitative computed tomography for vertebral body compressive strength and ash density. Bone. 1989;10(6):465-470.
1990	Mosekilde L, Mosekilde L. Sex differences in age-related changes in vertebral body size, density and biomechanical competence in normal individuals. Bone. 1990;11(2):67-73.
1998	Ebbesen EN, Thomsen JS, Beck-Nielsen H, Nepper-Rasmussen HJ, Mosekilde L. Vertebral bone density evaluated by dual-energy X-ray absorptiometry and quantitative computed tomography in vitro. Bone. September 1998;23(3):283-290.
1999	Ebbesen EN, Thomsen JS, Beck-Nielsen H, Nepper-Rasmussen HJ, Mosekilde L. Lumbar vertebral body compressive strength evaluated by dual-energy X-ray absorptiometry, quantitative computed tomography, and ashing. Bone. December 1999;25(6):713-724.
2007	Hulme PA, Boyd SK, Ferguson SJ. Regional variation in vertebral bone morphology and its contribution to vertebral fracture strength. Bone. December 2007;41(6):946-957.
2007	Sran MM, Boyd SK, Cooper DML, Khan KM, Zernicke RF, Oxland TR. Regional trabecular morphology assessed by micro-CT is correlated with failure of aged thoracic vertebrae under a posteroanterior load and may determine the site of fracture. Bone. March 2007;40(3):751-757.
1993	Snyder BD, Piazza S, Edwards WT, Hayes WC. Role of trabecular morphology in the etiology of age-related vertebral fractures. Calcif Tiss Int. February 1993;53(suppl 1):S14-S22.
1989	Brinckmann P, Biggemann M, Hilweg D. Prediction of the compressive strength of human lumbar vertebrae. Clin Biomech (Bristol, Avon). 1989;4(suppl 2):S1-S27.
1995	McCubbrey DA, Cody DD, Peterson EL, Kuhn JL, Flynn MJ, Goldstein SA. Static and fatigue failure properties of thoracic and lumbar vertebral bodies and their relation to regional density. J Biomech. August 1995;28(8):891-899.
2000	Whealan KM, Kwak SD, Tedrow JR, Inoue K, Snyder BD. Noninvasive imaging predicts failure load of the spine with simulated osteolytic defects. J Bone Joint Surg. September 2000;82A(9):1240-1251.
1992	Carter DR, Bouxsein ML, Marcus R. New approaches for interpreting projected bone densitometry data. J Bone Miner Res. February 1992;7(2):137-145.
1997	Seeman E. From density to structure: growing up and growing old on the surfaces of bone. J Bone Miner Res. April 1997;12(4):509-521.
1998	Jiang Y, Zhao J, Augat P, Ouyang X, Lu Y, Majumdar S, Genant HK. Trabecular bone mineral and calculated structure of human bone specimens scanned by peripheral quantitative computed tomography: relation to biomechanical properties. J Bone Miner Res. November 1998;13(11):1783-1790.
2008	Engelke K, Adams JE, Armbrecht G, Augat P, Bogado CE, Bouxsein ML, Felsenberg D, Ito M, Prevrhal S, Hans DB, Lewiecki EM. Clinical use of quantitative computed tomography and peripheral quantitative computed tomography in the management of osteoporosis in adults: the 2007 ISCD official positions. J Clin Densitom. January–March 2008;11(1):123-162.
1989	Brinckmann P, Biggemann M, Hilweg D. Prediction of the compressive strength of human lumbar vertebrae. Spine. June 1989;14(6):606-610.
1991	Cody DD, Goldstein SA, Flynn MJ, Brown EB. Correlations between vertebral regional bone mineral density (rBMD) and whole bone fracture load. Spine. 1991;16(2):146-154.
2001	Cao KD, Grimm MJ, Yang K-H. Load sharing within a human lumbar vertebral body using the finite element method. Spine. June 5, 2001;26(12):E253-E260.
2000	Mosekilde L. Age-related changes in bone mass, structure, and strength: effects of loading. Z Rheumatol. February 2000;59(suppl 1):I1-I9.
1992	Bouxsein ML. Physical Activity and Bone Density [PhD thesis]. Stanford University; August 1992.
2005	Sran MM. Manual Therapy and the Osteoporotic Spine [PhD thesis]. Vancouver, BC: University of British Columbia; March 2005.
1998	Kopperdahl DL. Structural Consequences of Damage on the Mechanical Behavior of the Human Vertebral Body [PhD thesis]. Berkeley, CA: Berkeley, University of California; 1998.
1993	McCubbrey DA. The Macroscopic Architectural Properties of Vertebral Trabecular Bone and Their Relation to Whole Vertebral Failure Loads [PhD thesis]. University of Michigan; 1993.
1995	Grimm MJ. Ultrasound Propagation Through the Calcaneus: Dependence on “Bone Quality” and Prediction by Biot's Theory [PhD thesis]. Philadelphia, PA: University of Pennsylvania; 1995.
2008	Parkinson RJ. Refining the Relationship Between the Mechanical Demands on the Spine and Injury Mechanisms Through Improved Estimates of Load Exposure and Tissue Tolerance [PhD thesis]. University of Waterloo; 2008.
2011	Howarth SJ. Mechanical Response of the Porcine Cervical Spine to Acute and Repetitive Anterior-Posterior Shear [PhD thesis]. University of Waterloo; 2011.
2005	Cao KD. Development of a 4-Vertebrae, Detailed Finite Element Model of Thoracolumbar Spine [PhD thesis]. Detroit, MI: Wayne State University; August 2005.