Objective: To investigate predicting value of increased risk of vertebral fracture associated with reduction of tibial ultrasound velocity (SOS) test in postmenopausal women.
Methods: 193 menopausal women aged(54.4 +/- 7.3) years were included in our study. Post menopausal period of these subjects were (16.0 +/- 7.8) years. These participants received tibial ultrasound speed (SOS) test, DEXA for lumbar 2-4, femoral neck wards triangle and trochant, as well as SPA for 1/3 and 1/10 of distal forearm. Vertebral fracture was determined by radiograph of lateral lumbar and thoracic spine.
Results: 54 subjects were found at least one vertebral deformation, and no vertebral deformation was found in other 139 subjects. Tibial SOS was significantly lower in subjects with than without vertebral fracture [(3,651.9 +/- 188.3) vs (3,731.3 +/- 140.8), P < 0.01], The similar results were also found in BMD. The analysis of logistic regression showed: odds ratio (OR) of SOS to vertebral fracture was 1.86(P < 0.01) when 1 standard deviation of SOS changed. It was lower than OR of BMD by DEXA(2.25-3.28, all P < 0.001), and similar with OR of BMD by SPA (1.50-1.96).
Conclusions: Low SOS was associated with presence of vertebral fracture in postmenopausal women. SOS could predict the risk of vertebral fracture, 86% of the risk of vertebral fracture increased when 1 standard deviation of SOS reduced.