Bone Mineral Density and Trabecular Bone Score in Postmenopausal Women with Lumbar Spine Osteoporosis

Mustafa Abd Almajeed; Ali Abdalaa Ahmed Aliedan; Thamer Ahmed Hamdan

doi:10.54133/ajms.v8i1.1665

Authors

Mustafa Abd Almajeed Department of Physiology, College of Medicine, University of Basrah, Basrah, Iraq https://orcid.org/0000-0002-1459-9291
Ali Abdalaa Ahmed Aliedan Department of Surgery, College of Medicine, University of Basrah, Basrah, Iraq
Thamer Ahmed Hamdan Department of Surgery, College of Medicine, University of Basrah, Basrah, Iraq

DOI:

https://doi.org/10.54133/ajms.v8i1.1665

Keywords:

Bone mineral density, trabecular bone score, osteoporosis, lumbar spine, postmenopausal women

Abstract

Background: Spine osteoporosis is a common case in postmenopausal women. Trabecular Bone Score (TBS) is a specific bone texture extent that can be extracted from DEXA images and will be support data in raising trabecular bone condition for this sample of people. Objective: To determine the association between BMD and TBS values in spine osteoporosis in postmenopausal women. Methods: Spine BMD and TBS were conducted for 348 postmenopausal women; the participation samples were divided into three groups (116 each). Group 1 represents women with severe spine osteoporosis; group 2 represents osteoporotic women with moderate spine osteoporosis; and group 3 represents healthy postmenopausal women matched for age with others. Results: The preponderance of the patients had partially degraded (-9.72) and highly degraded microarchitecture (-14.36) in TBS. The BMD (0.792 and 0.829) significantly decreased and adjusted TBS values (1.27 and 1.33) in cases groups compared with control respectively. A significant diminution was found in group case 1 (-3.7) and case group 2 (-2.6) in T-score compared to healthy spine density. Conclusions: When menopausal women have low BMD in the lumbar-sacral spine and low TBS values, this indicates that osteoporosis has a low crest mass in the bone. TBS was also shown to be strongly linked with decreasing bone density in the lower back region, indicating a favorable relationship between this indicator and decreased bone mass in postmenopausal women.

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