Summary
□Background: The prevalence of radiographically defined vertebral deformities, as a marker of vertebral osteoporosis, was calculated in a population based cross-sectional survey in Germany.
□Method: Lateral spine X-rays were taken according to a standardized protocol and evaluated centrally. Three thousand nine hundred and eighty subjects (2064 male and 1916 female) aged 50 to 79 years, have been examined in 8 German centers.
□Results: Based on McCloskey’s method of deformity definition the age-standardized mean prevalence of vertebral deformities in Germany was 10.2% for males and 10.5% for females. Based on the definition by Melton/Eastell as significant higher prevalence was calculated (males 17.8%, females 18.7%). The prevalence increased with age in both sexes with a steeper increase in females. There was no difference in East and West German populations. There were substantial variations between the centers regarding the prevalence of deformities in females and males.
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Literatur
Bengner U, Johnell O, Redlund-Johnell I. Changes in incidence and prevalence of vertebral fractures during 30 years. Calcif Tissue Int 1988;42:293–6.
Bernstein DS, Sadowsky N, Hegsted DM, Guri CD, Stare EJ. Prevalence of osteoporosis in high- and low-fluoride areas in North Dakota. JAMA 1966;198:499–504.
Consensus conference: Osteoporosis. JAMA 1984;252:799–802.
Cummings SR. Epidemiology of osteoporotic fractures. In: Genant HK, ed. Osteoporosis Update 1987. San Francisco: UCSF Printing Service, 1987.
Cummings SR, Kelsey JL, Nevitt MC, O’Dowd KJ. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 1985;7:178.
Eastell R, Cedel SL, Wahner HW, Riggs BL, Melton LJ III. Classification of vertebral fractures. J Bone Miner Res 1991;6:207–15.
Felsenberg D, Gowin W, Diessel E, Armbrust S, Mews J. Recent developments in DXA: quality of new DXA/MXA-devices for densitometry and morphometry. Europ J Radiol 1995;20:179–84.
Felsenberg D. Differentialdiagnose osteoporotischer Wirbelkörperfrakturen. In: Ringe JD, Meunier PJ, Hrsg. Senile Osteoporse. Stuttgart: Thieme-Verlag, 1996:73–91.
Felsenberg D, Kalender WA. Computerassisted morphometry of vertebral bodies. In: Vertebral fracture in osteoporosis. Genant HK, Jergas M et al., eds. San Francisco: UCSF-Print, 1996.
Felsenberg D. In: Metabolische Osteopathien. Seibel M, Stracke H, Hrsg. Stuttgart: Schattauer Verlag, 1997.
Goldsmith NF, Johnston JO, Picetti G, Garcia C. Bone mineral in the radius and vertebral osteoporosis in an insured population. J Bone Joint Surg 1973;55-A:1276–93.
Gowin W, Müller C, Alenfeld F, Diessel E, Felsenberg D. Differential diagnosis of osteoporotic vertebral fractures/deformities. J Bone Miner Res 1996;11(Suppl):355.
Gowin W, Diessel E, Mews J, Hoja T, Felsenberg D. Vertebral morphometry with DXA/MXA equipment — an equipment comparison. Dual X-ray absorptiometry/morphometric X-ray absorptiometry. Röfo 1997;166:140–5.
Kalidis L, Felsenberg D, Kalender WA, Eidloth H, Wieland E. Morphometric analysis of digitized radiographs: description of automatic evaluation. In: Current research in osteoporosis and bone mineral measurement II: 1992. Ring FFJ, ed. British Inst Radiol, 1992:14–6.
Lutwag L, Whedon GD. Osteoporosis. DM Disease-amonth 1963:1–39.
McCloskey EV, Spector TD, Eyres KS et al. The assessment of vertebral deformity: a method for use in population studies and clinical trials. Osteoporosis 1993;3:138–47.
Melton LJ III, Kann SH, Frye MA, Wahner HW, O’Fallon WM, Riggs BL. Epidemiology of vertebral fractures in women. Am J Epidemiol 1989;129:1000–11.
O’Neill TW, Felsenberg D, Varlow J, Cooper C, Kanis JA, Silman AJ, and the EVOS-Group: The prevalence of vertebral deformity in European men and women: The European Vertebral Osteoporosis Study. J Bone Miner Res 1996;11:1010–8.
Pogrund H, Makin M, Robin G, Menczel J, Steinberg R. Osteoporosis in patients with fractured femoral neck in Jerusalem. Clin Ortop 1977;124:165–72.
Riggs BL, Melton LJ III. Medical Progress: Involutional osteoporosis. N Engl J Med 1986;314:1676–84.
Wieland EU. Bestimmung der Wirbelkörpergeometrie zur Diagnose der Osteoporose. Freie Universität Berlin, 1993. Dissertation.
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Felsenberg, D., Wieland, E., Hammermeister, C. et al. Prävalenz der vertebralen Wirbelkörperdeformationen bei Frauen und Männern in Deutschland. Med Klin 93 (Suppl 2), 31–34 (1998). https://doi.org/10.1007/BF03041996
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DOI: https://doi.org/10.1007/BF03041996