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Observational Study
. 2023 Jan;41(1):105-112.
doi: 10.1007/s00774-022-01386-8. Epub 2022 Nov 23.

CT evaluation of bone fragility 2 years after bariatric surgery: an observational study

Marine Fauny  1   2 , Marion Halin  3 , Edem Allado  4   5 , Didier Quilliot  6   7   8 , Laurent Brunaud  7   8   9 , Eliane Albuisson  10   11   12 , Isabelle Chary-Valckenaere  3   13 , Damien Loeuille  3   13
Affiliations
Observational Study

CT evaluation of bone fragility 2 years after bariatric surgery: an observational study

Marine Fauny et al. J Bone Miner Metab. 2023 Jan.

Abstract

Introduction: The objectives were to evaluate bone fragility on computed tomography (CT) in patients with obesity before and 2 years after bariatric surgery and to identify risk factors for a decrease in the scanographic bone attenuation coefficient of the first lumbar vertebra (SBAC-L1).

Materials and methods: Patients with obesity who underwent bariatric surgery and CT before and 2 years (± 6 months) after bariatric surgery were included. SBAC-L1 was measured on CT with a fracture threshold at 145 HU.

Results: 78 patients were included, 85.9% women, mean age of 48.5 years (± 11.4); the mean BMI was 46.2 kg/m2 (± 7) before surgery and 29.8 kg/m2 (± 6.7) 2 years after surgery. There was a significant change in SBAC-L1 2 years after surgery (p = 0.037). In multivariate analysis, the risk factors for having an SBAC-L1 ≤ 145HU 2 years after bariatric surgery in those with an SBAC-L1 > 145HU before surgery were age and sex, with men and older patients having a higher risk (OR 32.6, CI 95% [1.86-568.77], and OR 0.85, CI 95% [0.74-0.98], respectively).

Conclusion: SBAC-L1 was significantly lower two years after bariatric surgery. Men sex and older patients were the risk factors for having an SBAC-L1 below the fracture threshold 2 years after surgery.

Keywords: Bariatric surgery; Bone mineral density; CT or computed tomography; Obesity; SBAC-L1.

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