Costo-iliac distance: a physical sign of understated importance

Ir J Med Sci. 2012 Mar;181(1):151-3. doi: 10.1007/s11845-011-0763-8. Epub 2011 Oct 9.

Abstract

Introduction: Osteoporosis is a common condition, especially affecting the older female population. The ability to predict loss of lumbar height using simple anatomical measurements would be a useful tool.

Methods: Forty subjects were recruited. Mean age was 72 years. Arm span (AS) and the costo-iliac distance (CID) were measured. The CID/AS ratio was calculated. The L(1)-L(4) vertebral height of each patient was obtained from dual-energy X-ray absorptiometry (DEXA).

Results: There was a statistically significant correlation between the lumbar height and CID/AS ratio (R (2) = 0.79, p < 0.001).

Conclusion: The CID/AS ratio may be a useful bedside test in identifying loss of lumbar vertebral height.

MeSH terms

  • Absorptiometry, Photon
  • Aged
  • Arm / anatomy & histology*
  • Female
  • Humans
  • Ilium / anatomy & histology*
  • Lumbar Vertebrae / diagnostic imaging*
  • Osteoporosis / diagnostic imaging*
  • Ribs / anatomy & histology*