Bone microstructure and volumetric bone mineral density in patients with global sagittal malalignment.
Henryk HafferMaximilian MuellnerErika ChiapparelliYusuke DodoManuel MoserJiaqi ZhuJennifer ShueAndrew A SamaFrank P CammisaFederico P GirardiAlexander P HughesPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2023)
Sagittal malalignment is associated with lower lumbar vBMD and trabecular microstructure. Lumbar vBMD was significantly lower in patients with malalignment. These findings warrant attention, as malalignment patients may be at a higher risk of surgery-related complications due to impaired bone. Standardized preoperative assessment of vBMD may be advisable.