Relationships between bone structure in the iliac crest and bone structure and strength in the lumbar spine.
The purpose of this study was to examine the relationship between histomorphometric variables of cancellous bone structure and ultimate compressive strength (UCS) in the second lumbar vertebra (L2) and to determine whether structural variables in the iliac crest are predictive of the same variables and of UCS in L2. At autopsy, 7.5 mm diameter cores were removed from the iliac crest and from L2 of 29 subjects who had died suddenly without bone disease. Cancellous bone volume (BV/TV, %) was significantly lower in L2 than in iliac crest due to lower trabecular number (Tb.N, per mm) and thickness (Tb.Th, microns). There were significant correlations between iliac crest and L2 for BV/TV, Tb.N and trabecular separation (Tb.Sp, microns), but not for Tb.Th. BV/TV was negatively correlated, and Tb.Sp was positively correlated with age at both sites. Tb.Th was not significantly correlated with age in the iliac crest, but a significant negative correlation was observed in L2. The UCS of vertebral cores was negatively correlated with age. BV/TV and Tb.Th in L2 were positively correlated with UCS in L2.(ABSTRACT TRUNCATED AT 250 WORDS)
Dempster
D W
DW
Regional Bone Center, Helen Hayes Hospital, West Haverstraw, New York 10993.
Ferguson-Pell
M W
MW
Mellish
R W
RW
Cochran
G V
GV
Xie
F
F
Fey
C
C
Horbert
W
W
Parisien
M
M
Lindsay
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D015519:Bone Density; D005260:Female; D006801:Humans; D007085:Ilium / Q000033:anatomy & histology* / Q000502:physiology; D008159:Lumbar Vertebrae / Q000033:anatomy & histology* / Q000502:physiology; D008297:Male; D008875:Middle Aged