Classification of endplate lesions in the lumbar spine and association with risk factors, biochemistry, and genetics

Purpose To detect the associations between the degree of the endplate (EP) lesions with the presence of risk factors, biochemical and genetic markers previously observed in low back pain (LBP) patients with EP defects in comparison with hernia/discopathy patients and healthy controls. Methods In thi...

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Veröffentlicht in:European spine journal 2021-08, Vol.30 (8), p.2231-2237
Hauptverfasser: Colombini, Alessandra, Galbusera, Fabio, Cortese, Maria Cristina, Gallazzi, Enrico, Viganò, Marco, Albano, Domenico, Cauci, Sabina, Sconfienza, Luca Maria, Brayda-Bruno, Marco
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container_end_page 2237
container_issue 8
container_start_page 2231
container_title European spine journal
container_volume 30
creator Colombini, Alessandra
Galbusera, Fabio
Cortese, Maria Cristina
Gallazzi, Enrico
Viganò, Marco
Albano, Domenico
Cauci, Sabina
Sconfienza, Luca Maria
Brayda-Bruno, Marco
description Purpose To detect the associations between the degree of the endplate (EP) lesions with the presence of risk factors, biochemical and genetic markers previously observed in low back pain (LBP) patients with EP defects in comparison with hernia/discopathy patients and healthy controls. Methods In this observational retrospective study, T2-weighted sagittal MRI images ( n  = 223 LBP patients) were scored for EP lesions by two independent observers. Total MRI score and number of affected levels (L1/L2–L5/S1) have been considered for the correlation with demographic, behavioral, clinical, biochemical (25(OH)D, CTx-I and CTx-II levels, n  = 69 males) and VDR variables. Results Males showed higher BMI and total MRI score than females. Patients bearing TT compared to tt VDR genotypes showed significant higher total MRI scores. Among males ( n  = 125), TT , bb and aa genotypes showed increased total MRI scores. Higher total MRI score directly correlates with higher levels of CTx-I and CTx-II ( n  = 69 males). Conclusions The markers previously identified as associated with the presence of EP lesions have been confirmed as related to their severity and could be used to follow the pathology progression.
doi_str_mv 10.1007/s00586-021-06719-1
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Methods In this observational retrospective study, T2-weighted sagittal MRI images ( n  = 223 LBP patients) were scored for EP lesions by two independent observers. Total MRI score and number of affected levels (L1/L2–L5/S1) have been considered for the correlation with demographic, behavioral, clinical, biochemical (25(OH)D, CTx-I and CTx-II levels, n  = 69 males) and VDR variables. Results Males showed higher BMI and total MRI score than females. Patients bearing TT compared to tt VDR genotypes showed significant higher total MRI scores. Among males ( n  = 125), TT , bb and aa genotypes showed increased total MRI scores. Higher total MRI score directly correlates with higher levels of CTx-I and CTx-II ( n  = 69 males). Conclusions The markers previously identified as associated with the presence of EP lesions have been confirmed as related to their severity and could be used to follow the pathology progression.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-021-06719-1</identifier><identifier>PMID: 33452926</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>25-Hydroxyvitamin D ; Arthritis ; Back pain ; Back surgery ; Biochemistry ; Body mass index ; Genetic markers ; Genotypes ; Hernia ; Lesions ; Low back pain ; Magnetic resonance imaging ; Males ; Medicine ; Medicine &amp; Public Health ; Neurosurgery ; Original Article ; Pathology ; Patients ; Population ; Risk factors ; Scoliosis ; Spine (lumbar) ; Surgical Orthopedics ; Vertebrae ; Vitamin D</subject><ispartof>European spine journal, 2021-08, Vol.30 (8), p.2231-2237</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-4a291fc10890bd43b4d20b1e71bed8f680bbd789df3da1b0095e68833b6e384b3</citedby><cites>FETCH-LOGICAL-c375t-4a291fc10890bd43b4d20b1e71bed8f680bbd789df3da1b0095e68833b6e384b3</cites><orcidid>0000-0002-1800-3424</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-021-06719-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-021-06719-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33452926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Colombini, Alessandra</creatorcontrib><creatorcontrib>Galbusera, Fabio</creatorcontrib><creatorcontrib>Cortese, Maria Cristina</creatorcontrib><creatorcontrib>Gallazzi, Enrico</creatorcontrib><creatorcontrib>Viganò, Marco</creatorcontrib><creatorcontrib>Albano, Domenico</creatorcontrib><creatorcontrib>Cauci, Sabina</creatorcontrib><creatorcontrib>Sconfienza, Luca Maria</creatorcontrib><creatorcontrib>Brayda-Bruno, Marco</creatorcontrib><title>Classification of endplate lesions in the lumbar spine and association with risk factors, biochemistry, and genetics</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose To detect the associations between the degree of the endplate (EP) lesions with the presence of risk factors, biochemical and genetic markers previously observed in low back pain (LBP) patients with EP defects in comparison with hernia/discopathy patients and healthy controls. 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Methods In this observational retrospective study, T2-weighted sagittal MRI images ( n  = 223 LBP patients) were scored for EP lesions by two independent observers. Total MRI score and number of affected levels (L1/L2–L5/S1) have been considered for the correlation with demographic, behavioral, clinical, biochemical (25(OH)D, CTx-I and CTx-II levels, n  = 69 males) and VDR variables. Results Males showed higher BMI and total MRI score than females. Patients bearing TT compared to tt VDR genotypes showed significant higher total MRI scores. Among males ( n  = 125), TT , bb and aa genotypes showed increased total MRI scores. Higher total MRI score directly correlates with higher levels of CTx-I and CTx-II ( n  = 69 males). Conclusions The markers previously identified as associated with the presence of EP lesions have been confirmed as related to their severity and could be used to follow the pathology progression.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33452926</pmid><doi>10.1007/s00586-021-06719-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1800-3424</orcidid></addata></record>
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source SpringerNature Journals
subjects 25-Hydroxyvitamin D
Arthritis
Back pain
Back surgery
Biochemistry
Body mass index
Genetic markers
Genotypes
Hernia
Lesions
Low back pain
Magnetic resonance imaging
Males
Medicine
Medicine & Public Health
Neurosurgery
Original Article
Pathology
Patients
Population
Risk factors
Scoliosis
Spine (lumbar)
Surgical Orthopedics
Vertebrae
Vitamin D
title Classification of endplate lesions in the lumbar spine and association with risk factors, biochemistry, and genetics
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