基于MRI的椎体骨质量评分对骨质量评估的临床影响。
The clinical impact of MRI-based vertebral bone quality score for assessment of bone quality.
作者信息
Pu Xingxiao, Tian Tian, Dai Xuejun, Wang Daxing, Xiao Weiping, Gu Shao, Liu Chengwei, Liu Bailian, Kang Pengde, Li Haifeng
机构信息
Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Department of Orthopedic Surgery, Yan'an Hospital Affiliated to Kunming Medical University, 245# Panlong, Renmingdonglu, Kunming, Yunnan, 650051, P.R. China.
出版信息
Eur Spine J. 2025 Jul 1. doi: 10.1007/s00586-025-09096-1.
PURPOSE
The purpose of this search was to evaluate the clinical significance of the MRI-based vertebral bone quality (VBQ) score for assessment of bone quality.
METHODS
We searched all published articles regarding the clinical impact of VBQ score in Embase, Cochrane library, and PubMed before June 1st, 2023.
RESULTS
The calculational method of VBQ has gradually been standardized. The association between the VBQ score and bone mineral density (BMD) is well established, and the VBQ score is verified to assess the bone condition. The quantitative computed tomography (QCT) BMD as the gold standard to determine the diagnostic threshold of the VBQ score is recommended. Moreover, the VBQ score is a good predictor for some osteoporosis-related postoperative complications. However, there are still some influential factors for the VBQ score that have not fully understood.
CONCLUSION
VBQ score is a simple and reproducible method to assess bone quality that can be achieved on the lumbar MRI. Preoperative VBQ score can predict some osteoporosis-related postoperative complications precisely. However, the diagnostic threshold value VBQ score and the effect of influential factors on the VBQ score may need to be further explored in the future.
目的
本检索的目的是评估基于MRI的椎体骨质量（VBQ）评分在评估骨质量方面的临床意义。
方法
我们检索了截至2023年6月1日在Embase、Cochrane图书馆和PubMed上发表的所有关于VBQ评分临床影响的文章。
结果
VBQ的计算方法已逐渐标准化。VBQ评分与骨密度（BMD）之间的关联已得到充分确立，并且VBQ评分被证实可用于评估骨状况。推荐将定量计算机断层扫描（QCT）骨密度作为确定VBQ评分诊断阈值的金标准。此外，VBQ评分是一些骨质疏松相关术后并发症的良好预测指标。然而，对于VBQ评分仍存在一些尚未完全了解的影响因素。
结论
VBQ评分是一种简单且可重复的评估骨质量的方法，可通过腰椎MRI实现。术前VBQ评分可精确预测一些骨质疏松相关的术后并发症。然而，VBQ评分的诊断阈值以及影响因素对VBQ评分的作用可能需要在未来进一步探索。
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