| Are persistently symptomatic vertebral compression fractures associated with abnormal inflammatory profiles? A prospective study. | |
| | |
MedLine Citation:
|
PMID: 21445026 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
STUDY DESIGN: A case-control study with prospectively collected samples for laboratory analysis in a series of patients with spinal fragility fractures and a series of patients without fracture who underwent fusion for LBP. OBJECTIVE: Was an exploratory data analysis for candidate cytokine biomarkers present in the fracture milieu of patients with persistent back pain associated with vertebral compression fracture. SUMMARY OF BACKGROUND DATA: Lumbar and thoracic compression fractures are common. Little is known about the presence of inflammatory mediators within fractured vertebra in the clinical setting. METHODS: Thirty patients diagnosed with a single thoracic or lumbar compression fracture were treated with single level vertebroplasty. At the time of intervention, needle aspiration was carried out at the fractured level. A multiplexed bead assay was used to assess the presence of 27 different cytokines and inflammatory mediators. A control group consisted of needle aspiration samples of 30 lumbar vertebra from 13 patients with chronic pain but no fracture undergoing open instrumented fusion. RESULTS: Thirty patients with 30 fractures consisted of 23 female and 7 male with a mean age of 77.5 years (SD 13.6; range 42 to 97) and a mean of 3.9 weeks of pain (SD 3.1; range 1 to 12). The highest levels of inflammatory mediators were (in order): IL-1 receptor antagonist, PDGF, RANTES, IP-10, IL-8, and eotaxin. These mediators were present at concentrations>200 pg/mL. Compared with controls with chronic pain, significant differences were present for 4 mediators: TNF, MIP-1b, IL-9, and IL-12. The panel of these 4 markers was 93.3% specific and 66.7% sensitive for fracture compared with the control group. CONCLUSIONS: Inflammatory mediators are present in needle aspirates of symptomatic vertebral compression fractures. Some of these mediators show different levels than in patients with chronic pain but no fracture. LEVEL OF EVIDENCE: Diagnostic level of evidence II. |
| | |
Authors:
|
S Raymond Golish; Lewis S Hanna; Jason M Cuellar; Jeffrey C Fernyhough; David R Campbell; Eugene J Carragee; Gaetano J Scuderi |
Related Documents
:
|
1461196 - Current status of physical measurements of the skeleton. 15695596 - Birth weight and weight at 1 year are independent determinants of bone mass in the seve... 9591486 - Women of reproductive age with endometriosis are not osteopenic. 17825636 - Does weight gain induce cortical and trabecular bone regain in anorexia nervosa? a two-... 21477146 - Closure of the middle ear with special reference to the development of the tegmen tympa... 12939536 - Effects of physical training on bone mineral density and bone metabolism. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of spinal disorders & techniques Volume: 24 ISSN: 1539-2465 ISO Abbreviation: J Spinal Disord Tech Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-03-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101140323 Medline TA: J Spinal Disord Tech Country: United States |
Other Details:
|
Languages: eng Pagination: 121-5 Citation Subset: IM |
Affiliation:
|
*Department of Orthopaedic Surgery, Stanford University, Palo Alto, CA †Cytonics Inc, Jupiter, FL ‡Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, NY §Jupiter Medical Center, Jupiter, FL ∥Florida Back Institute, Boca Raton, FL. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The effect on the pullout strength by the timing of pedicle screw insertion after calcium phosphate ...
Next Document: It is true that regional migratory osteoporosis has a full remission? A follow-up after 14 years Reg...