The Assessment of the Bone Quality with Low Back Pain

Abstract

The aim of this study was to measure osteoporosis in the right heel bone. A total of 123 Iraqi men and women with low back pain (LBP) participated in the study (18 males and 105 females). Quantitative Ultrasound (QUS) was used to assess osteoporosis, speed of sound (SOS), broadband ultrasound attenuation (BUA), and calcaneus bone quality index (BQI). A dual x-ray absorptiometry (DXA) was used to determine tissue thickness, fracture risk factor, and abdominal fat percentage. The results indicate that SOS was 1495.43±18.780 m/sec. Participants had a Z-score of -1.10±1.56. The fracture risk factor for participants was 1.622± 1.90 when DXA measurements were taken. Low back pain measurements revealed that the age group between 51-60 years had the highest prevalence. The correlation between the T-score and the calcaneal SOS is a linear relationship with a P-value of 0.0001. When we examine the relationship between the Z-score and the calcaneal BUA, we see that it is linear and statistically significant (P-value less than 0.0001). The correlations between calcaneal BQI and BMI, as well as between calcaneal BUA and tissue thickness, were found to be statistically insignificant (P-value = 0.8 and 0.8, respectively). The correlation between calcaneal SOS and abdominal fat percent appears to be statistically significant (P-value=0.05) (linear correlation is weak).