Análisis morfométrico de fracturas vertebrales (La Plata, Argentina)

Marcos Plischuk; Agustina Datino

doi:10.24215/18536387e070

Authors

Marcos Plischuk Laboratorio de Investigaciones en Ciencias Forenses, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Consejo Nacional de Investigaciones Científicas y Técnicas https://orcid.org/0000-0003-0987-2369
Agustina Datino Facultad de Ciencias Naturales y Museo, Universidad Nacional de La Plata https://orcid.org/0009-0005-0512-3776

DOI:

https://doi.org/10.24215/18536387e070

Keywords:

osteoporosis, bone mineral density, trabeculae

Abstract

Vertebral compression fractures are one of the most frequent types of fractures in postmenopausal women. However, there are few studies on these fractures carried out directly on osteological material. Therefore, the objective of this article is to determine the prevalence of these fractures in a contemporary population through an osteological analysis. For this purpose, 39 skeletons belonging to the Lambre Collection (Faculty of Medical Sciences, National University of La Plata) were analyzed. The mean age was 56.1 years. For the diagnosis of fractures, the vertebrae were macroscopically inspected in search of changes in body height, and then a semiquantitative morphometric approximation was carried out. These results were related to the bone quality of the individuals estimated from X-rays of the calcaneus and femur. The results obtained from the morphometric analysis revealed four individuals with vertebral fractures, which comprised 10.25% of the sample. Two of the observed cases corresponded to males (11.1%), and the remaining two to females (9.52%), with a mean age at death of 68.5 years. The eight fractured vertebrae found correspond to the lower thoracic and upper lumbar segment, while no direct relationship was observed between the fractures and the bone quality of the affected individuals. The estimated prevalence could be affected by sample bias and the effect of resorptive drugs. The low dimorphic expression of the trait might be related to the physical activity performed by the male individuals in the population, while corroborating that bone quality is not the only determinant of an osteoporotic vertebral fracture.

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