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01-12-2018 | Original Article

Morphometric semi-quantitative assessment of vertebral fractures in postmenopausal black women in Central Africa

Authors: Joseph Médard Kabeya Kabenkama, Lydie Banza, Jean Mukaya Tshibola, Jean–Marie Mbuyi Muamba, Rahma Rashid Tozin, Michel Lelo Tshikwela

Published in: Archives of Osteoporosis | Issue 1/2018

Abstract

Summary

This prospective and multi-centric study assessed the lacking of pattern in fractured patients and features of vertebral fractures in postmenopausal black women living in central Africa.

Introduction

Patients with osteoporosis commonly collapsed their vertebral body. This has been widely studied in Caucasians, Asians, and Americans and studies in black African are lacking. Our study was designed to establish a pattern of patients with fractures and determine the features of vertebral fractures in postmenopausal black women living in Central Africa.

Methods

A prospective and multi-centric study was conducted from June 2011 to June 2016, to assess the thoraco-lumbar-computed tomographic images of women. The menopausal statuses and anthropometric parameters (age, height, and weight) were collected. The body mass index and the Asset Poverty Index were evaluated. The reviews included a morphometric analysis of each vertebra that was rated according to the visual semi-quantitative system proposed by Genant et al.

Results

Four hundred thirty women aged 47–87 years old were included in this study. The mean age was 57 years old, and the mean menopause duration was 11.45 ± 6.6 years with extremes ranging from 2 to 37 years. The body mass indices were rated as overweight and obese in 80.8% of subjects and 54, 3% had high-API indices. Among the 4730 vertebrae analyzed, 529 (11.12%) were fractured, with 68.7% exhibited a cup-shaped deformation (biconcave), 19.8% had a wedge-shaped deformation, and 11.4% exhibited a cake (crush) deformation. Of the vertebras, 88.8% were grade 0, 5.5% grade 1, 5% grade 2, and 0.57% were grade 3. Of the women, 68.8% had one vertebra fractured and 31.2% had more than one fractured vertebrae.

Conclusion

This study seemed to determine the pattern and features of vertebral fractures in black African women which may be useful for comparisons with the pattern of worldwide populations.

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Title: Morphometric semi-quantitative assessment of vertebral fractures in postmenopausal black women in Central Africa
Authors: Joseph Médard Kabeya Kabenkama
Lydie Banza
Jean Mukaya Tshibola
Jean–Marie Mbuyi Muamba
Rahma Rashid Tozin
Michel Lelo Tshikwela
Publication date: 01-12-2018
Publisher: Springer London
Published in: Archives of Osteoporosis / Issue 1/2018
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-018-0431-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Morphometric semi-quantitative assessment of vertebral fractures in postmenopausal black women in Central Africa

Abstract

Summary

Introduction

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusion

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