000043559 001__ 43559 000043559 005__ 20240823153019.0 000043559 0247_ $$2doi$$a10.6083/bpxhc43559 000043559 037__ $$aIR 000043559 041__ $$aeng 000043559 245__ $$aQuantifying dens fractures: the relationship between dens fractures and opportunistic CT osteoporosis indices 000043559 260__ $$bOregon Health and Science University 000043559 269__ $$a2024 000043559 336__ $$aAbstract 000043559 520__ $$aInjuries of the atlas (C2) are a common, and the incidence of these fractures continues to outpace the growth rate of the aging population. C2 fractures commonly impact the odontoid process, which plays a critical role in cervical motion, allowing for 50% of axial rotation and 10-20 degrees of sagittal motion. Previous studies have shown that degenerative changes to the cervical spine, such as atlanto-dens interval, calcific synovitis, and cervical osteoarthritis are associated with dens fractures, however no research to date has shown the relationship between osteoporotic changes and susceptibility to dens fractures. While DEXA scans are the current gold standard for determining bone density, bone density can also be opportunistically measured using computed tomography using the Hounsfield Unit (HU). This study used CT to characterized vertebral body bone density and determine if there is a correlation between odontoid process bone density and occurrence of dens fractures. 000043559 540__ $$fCC BY 000043559 542__ $$fIn copyright - joint owners 000043559 650__ $$aTomography, X-Ray Computed$$027159 000043559 650__ $$aOsteoporosis$$023359 000043559 650__ $$aFractures, Bone$$036511 000043559 650__ $$aBone Density$$028469 000043559 650__ $$aOdontoid Process$$023159 000043559 6531_ $$adens fractures 000043559 691__ $$aSchool of Medicine$$041369 000043559 692__ $$aDepartment of Orthopedics and Rehabilitation$$041431 000043559 7001_ $$aSauer, Andrew$$uOregon Health and Science University$$041354 000043559 7001_ $$aSmith, Spencer J.$$uOregon Health and Science University$$041354 000043559 7001_ $$aKark, Jon$$uOregon Health and Science University$$041354 000043559 7001_ $$aYoo, Jung U.$$uOregon Health and Science University$$041354 000043559 711__ $$aResearch Week$$uOregon Health and Science University$$d2024 000043559 8564_ $$92a8a5e69-7684-43c3-a23b-091ea771f11e$$s215405$$uhttps://digitalcollections.ohsu.edu/record/43559/files/ResearchWeek.2024.Sauer.Andrew.pdf 000043559 980__ $$aResearch Week