ArticleAsian spine journal2026
Comparison between Hounsfield unit value and vertebral bone quality score for adjacent vertebral fracture risk assessment after balloon kyphoplasty: a propensity score matching study.
Article in Asian spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Pedicle screw insertion technique into a previously cement-augmented vertebral body: a technical note with a case series.Asian spine journal · 2026Article
- Comparative Radiologic Outcomes of Romosozumab and Teriparatide in Osteoporotic Vertebral Fractures.Journal of clinical medicine · 2026Article
- Segment-specific prediction of vertebral collapse severity in osteoporotic fractures.Frontiers in endocrinology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designA retrospective study. PURPOSE: To compare the predictive utility between Hounsfield unit (HU) values and vertebral bone quality (VBQ) scores for adjacent vertebral fracture (AVF) risk after balloon kyphoplasty (BKP) and to identify the appropriate measurement site. OVERVIEW OF LITERATURE: HU and VBQ have emerged as novel bone strength assessment methods. However, no study has compared the efficacy of these methods for evaluating AVF risk.
methodsThis single-center study included 130 patients with osteoporotic vertebral fractures who underwent BKP and preoperative computed tomography and magnetic resonance imaging. After propensity score matching for age; sex; body mass index; fracture level; use of steroids, teriparatide, or osteoporosis medication; and previous AVF, patients were classified into the AVF (-) and AVF (+) groups, each of which included 34 patients. Bone strength was assessed using the L1 HU, L1-4 HU (mean HU of L1-L4), L1 VBQ, and L1-4 VBQ. Group differences were analyzed, and the predictive accuracy for AVF was evaluated using area under the receiver operating characteristic curve (AUC).
resultsL1 HU was significantly lower in the AVF (+) group than in the AVF (-) group (92.1±29.4 vs. 71.6±21.4, p =0.013). No significant differences between the groups were observed for L1-4 HU, L1 VBQ, and L1-4 VBQ. L1 HU had the highest AUC (0.657), compared with those for L1-4 HU (0.625), L1 VBQ (0.524), and L1-4 VBQ (0.523). The predictive accuracy of L1 was superior to that of L1-4 for both HU and VBQ scores.
conclusionsHU was superior to VBQ in predicting AVF risk after BKP, with L1 HU being the most effective indicator of bone strength and AVF risk.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.