Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Early Bone Marrow Edema Pattern of the Osteoporotic Vertebral Compression Fracture : Can Be Predictor of Vertebral Deformity Types and Prognosis?

  • Ahn, Sung Eun (Department of Radiology, Graduate School, Kyung Hee University) ;
  • Ryu, Kyung Nam (Department of Radiology, Kyung Hee University Hospital, Kyung Hee University School of Medicine) ;
  • Park, Ji Seon (Department of Radiology, Kyung Hee University Hospital, Kyung Hee University School of Medicine) ;
  • Jin, Wook (Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Park, So Young (Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine) ;
  • Kim, Sung Bum (Department of Neurosurgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine)
  • Received : 2015.07.22
  • Accepted : 2016.01.16
  • Published : 2016.03.01
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Abstract

Objective : To evaluate whether an early bone marrow edema pattern predicts vertebral deformity types and prognosis in osteoporotic vertebral compression fracture (OVCF). Methods : This retrospective study enrolled 64 patients with 75 acute OVCFs who underwent early MRI and followed up MRI. On early MRI, the low SI pattern of OVCF on T1WI were assessed and classified into 3 types (diffuse, globular or patchy, band-like). On followed up MRI, the vertebral deformity types (anterior wedge, biconcave, crush), degree of vertebral body height loss, incidence of vertebral osteonecrosis and spinal stenosis were assessed for each vertebral fracture types. Results : According to the early bone marrow edema pattern on T1WI, 26 vertebrae were type 1, 14 vertebrae were type 2 and 35 vertebrae were type 3. On followed up MRI, the crush-type vertebral deformity was most frequent among the type 1 OVCFs, the biconcave-type vertebral deformity was most frequent among the type 2 OVCFs and the anterior wedge-type vertebral deformity was most frequent among the type 3 OVCFs (p<0.001). In addition, type 1 early bone marrow edema pattern of OVCF on T1WI were associated with higher incidence of severe degree vertebral body height loss, vertebral osteonecrosis and spinal stenosis on the follow up MRI. Conclusion : Early bone marrow edema pattern of OVCF on T1WI, significant correlated with vertebral deformity types on the follow up MRI. The severe degree of vertebral height loss, vertebral osteonecrosis, and spinal stenosis were more frequent in patients with diffuse low SI pattern.

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References

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