Predicting osteoporosis-related complications in lumbar spine surgery using Hounsfield unit and vertebral bone quality scores: A 5-Year follow-up study with principal component analysis insights

This study demonstrated that both HU and VBQ scores effectively predicted postoperative osteoporosis-related complications, with no significant difference in predictive ability. Optimal cutoff values were identified at approximately ≤ 100 for HU and ≥ 3.5 for VBQ, and the difference between these two scores lacked clinical significance. These cut-offs for HU and VBQ can serve as practical thresholds for risk assessment, enabling spinal surgeons to use these scores as opportunistic tools for identifying patients at an elevated risk of osteoporosis-related complications after lumbar spine surgery.

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Publication Details

Journal
European Spine Journal
Published
2025-08-26
DOI
https://doi.org/10.1007/s00586-025-09298-7
Citations
1
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
1.47
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article

Predicting osteoporosis-related complications in lumbar spine surgery using Hounsfield unit and vertebral bone quality scores: A 5-Year follow-up study with principal component analysis insights

Yuki Kinoshita, Takashi Namikawa, Hiromitsu Toyoda, Akira Matsumura et al.
1 citations
European Spine Journal
Spine and Intervertebral Disc Pathology
1.47
article

Predicting osteoporosis-related complications in lumbar spine surgery using Hounsfield unit and vertebral bone quality scores: A 5-Year follow-up study with principal component analysis insights

Yuki Kinoshita, Takashi Namikawa, Hiromitsu Toyoda, Akira Matsumura, Hidetomi Terai, Hiroshi Taniwaki, Akinobu Suzuki, Shinji Takahashi, Masatoshi Hoshino, Koji Tamai, Minori Kato, Hiroaki Nakamura, Yusuke S. Hori
article en
1 citations

Abstract

This study demonstrated that both HU and VBQ scores effectively predicted postoperative osteoporosis-related complications, with no significant difference in predictive ability. Optimal cutoff values were identified at approximately ≤ 100 for HU and ≥ 3.5 for VBQ, and the difference between these two scores lacked clinical significance. These cut-offs for HU and VBQ can serve as practical thresholds for risk assessment, enabling spinal surgeons to use these scores as opportunistic tools for identifying patients at an elevated risk of osteoporosis-related complications after lumbar spine surgery.

European Spine JournalVol. 34(11)
Osaka City General Hospital (JP), Saiseikai Nakatsu Hospital (JP), Osaka Metropolitan University (JP), Tokyo Metropolitan University (JP)
Good health and well-being
Openalex Percentile: Top 16%
Spine and Intervertebral Disc Pathology
1.47
DOIOpen Access PDFOpenAlex
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