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Research ArticleComplications

Does the Bone Mineral Density of the Lumbar Spine Correlate With Dual-Energy X-ray Absorptiometry T Score? A Cadaveric-Based Analysis of Computed Tomography Densitometry

Khalid Odeh, Alexander Rosinski, Ashish Mittal, Wei Wu, Joseph Pourtabib, Jeremi Leasure and Dimitriy G. Kondrashov
International Journal of Spine Surgery February 2023, 17 (1) 132-138; DOI: https://doi.org/10.14444/8388
Khalid Odeh
1 San Francisco Orthopaedic Residency Program, St. Mary’s Medical Center, San Francisco, California, USA
MD
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Alexander Rosinski
1 San Francisco Orthopaedic Residency Program, St. Mary’s Medical Center, San Francisco, California, USA
MD
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Ashish Mittal
1 San Francisco Orthopaedic Residency Program, St. Mary’s Medical Center, San Francisco, California, USA
MD
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Wei Wu
1 San Francisco Orthopaedic Residency Program, St. Mary’s Medical Center, San Francisco, California, USA
MD
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Joseph Pourtabib
2 The Taylor Collaboration, San Francisco, California, USA
BS
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Jeremi Leasure
1 San Francisco Orthopaedic Residency Program, St. Mary’s Medical Center, San Francisco, California, USA
2 The Taylor Collaboration, San Francisco, California, USA
MENG
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Dimitriy G. Kondrashov
1 San Francisco Orthopaedic Residency Program, St. Mary’s Medical Center, San Francisco, California, USA
2 The Taylor Collaboration, San Francisco, California, USA
MD
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  • For correspondence: sfspine@gmail.com
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    Figure 1

    Images depicting the data collection process, including the conversion of computed tomography (CT) images to engineering solid models. The 2-dimensional images are segmented from a series of CT images to define volumes. Each vertebra was divided into 7 regions followed by further segmentation of cancellous and cortical bone within each anatomic volume. Cortical and cancellous bone were separated by a filter algorithm provided by the segmentation software.

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    Figure 2

    Scatter plots demonstrating the relationship between dual-energy x-ray absorptiometry T scores and bone mineral density of cortical and cancellous bone for each of the 7 anatomical regions of the lumbar spine.

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    Table 1

    Guideline for interpreting correlation coefficients.13

    Absolute Value of the Correlation CoefficientInterpretation
    0.00–0.10Negligible correlation
    0.10–0.39Weak correlation
    0.40–0.69Moderate correlation
    0.70–0.89Strong correlation
    0.90–1.00Very strong correlation
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    Table 2

    Pearson correlation coefficients demonstrating the relationship between dual-energy x-ray absorptiometry T scores and the BMD of cortical and cancellous bone for each of the 7 anatomical regions of the lumbar spine.

    Vertebral RegionCortical BMD P ValueCancellous BMD P Value
    Inferior articular process0.550.0090.260.115
    Lamina0.550.0090.290.072
    Pedicle0.740.0010.570.008
    Superior articular process0.560.0080.360.048
    Spinous process0.630.0040.570.007
    Transverse process0.160.2240.400.029
    Vertebral body0.430.0300.820.000
    • Abbreviation: BMD, bone mineral density.

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International Journal of Spine Surgery
Vol. 17, Issue 1
1 Feb 2023
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Does the Bone Mineral Density of the Lumbar Spine Correlate With Dual-Energy X-ray Absorptiometry T Score? A Cadaveric-Based Analysis of Computed Tomography Densitometry
Khalid Odeh, Alexander Rosinski, Ashish Mittal, Wei Wu, Joseph Pourtabib, Jeremi Leasure, Dimitriy G. Kondrashov
International Journal of Spine Surgery Feb 2023, 17 (1) 132-138; DOI: 10.14444/8388

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Does the Bone Mineral Density of the Lumbar Spine Correlate With Dual-Energy X-ray Absorptiometry T Score? A Cadaveric-Based Analysis of Computed Tomography Densitometry
Khalid Odeh, Alexander Rosinski, Ashish Mittal, Wei Wu, Joseph Pourtabib, Jeremi Leasure, Dimitriy G. Kondrashov
International Journal of Spine Surgery Feb 2023, 17 (1) 132-138; DOI: 10.14444/8388
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Keywords

  • regional densitometry
  • spinal fixation
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  • spine construct failure
  • spine DEXA score
  • spine BMD

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