The Relationship Between Bone Mineral Density and Lumbar Disc Herniation in Postmenopausal Women

• Published in: Curēus (Palo Alto, CA) CA), 2023-08, Vol.15 (8), p.e44156-e44156
• Main Authors: Çelen, Zekeriya Ersin, Onay, Tolga
• Format: Article
• Language: English
• Subjects: Age; Arthritis; Back surgery; Body mass index; Bone density; Bones; Chi-square test; Cross-sectional studies; Degenerative disc disease; Fractures; Obesity; Orthopedics; Osteoporosis; Patients; Regression analysis; Statistical analysis; Variables; Womens health; Young adults
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.44156

Introduction: In previous studies, the relationship between BMD (bone mineral density) and LDH (lumbar disc herniation) has been investigated in young people, except for postmenopausal women. The aim of this study was to evaluate this association in postmenopausal women.Methods: A cross-sectional analysis of 545 consecutive postmenopausal women was performed at a single center. The study included patients aged 45 to 85 with low back pain. Age, weight, height, L1-L4 BMD, L1-L4 T-score, L1-L4 Z-score, femoral neck BMD, femoral neck T-score, and femoral neck Z-score of patients were collected. MRI scans were assessed for the diagnosis of LDH. To explore the impact of the number of herniated segments, patients with LDH were further divided into single-level and multi-level LDH groups.Results: Five hundred and thirteen postmenopausal women were included in the final analysis. The mean age of the patients was 61.3±8.6 years in the LDH group and 58.4±7.8 years in the non-LDH group (p=0.001). The LDH group had higher lumbar (p