Correlation between Spine Bone Density to Patient’s Age, Classification, Pain and Disability Score in Thoracolumbar Compression Fracture Due to Osteoporosis

Abstract

Osteoporosis is one of the most common public health issues. Osteoporosis marked by a low bone density and quality leading to compression fracture. Computed Tomography (CT) scan with Hounsfield Unit (HU) can be used to assess bone density of the spine also to screen osteoporosis condition. This research was focused on determining the correlation between spine bone density to patient’s age, classification, pain, and disability score in thoracolumbar compression fracture due to osteoporosis. This research was an analytic observational study with cross sectional approach, using total sampling technique during January to May 2023. The subjects were patients who diagnosed with thoracolumbar compression fracture in Dr. Moewardi General Hospital Surakarta and Dr. Soeharso Orthopedic Hospital Kartasura. Statistical analysis using Spearman and Gamma correlation tests. There were 25 thoracolumbar compression fracture patients who met all criteria. Correlation analysis showed a significant relation between patient’s spine HU with patient’s age (p<0.001), Oswestry Disability Index score (p=0.001), Visual Analogue Scale score (p=0.002), and compression fracture classification (p<0.001). Lower patient’s spine HU strongly correlate with older patient’s age, higher ODI score, higher VAS score, and higher compression fracture classification