Zach Pennington, Anthony L Mikula, Nikita Lakomkin, Michael Martini, Michelle J Clarke, Arjun S Sebastian, Brett A Freedman, Peter S Rose, S Mohammed Karim, Ahmad Nassr, Mohamad Bydon, Roman O Kowalchuk, Kenneth W Merrell, William E Krauss, Jeremy L Fogelson, Benjamin D Elder
OBJECTIVE: Spine metastases are commonly treated with radiotherapy for local tumor control; pathologic fracture is a potential complication of spinal radiotherapy. Both Hounsfield units (HUs) on CT and vertebral bone quality (VBQ) on MRI have been argued to predict stability as measured by odds of pathologic fracture, although it is unclear if there is a difference in the predictive power between the two methodologies. The objective of the present study was to examine whether one methodology is a better predictor of pathologic fracture following radiotherapy for mobile spine metastases...
January 1, 2024: Journal of Neurosurgery. Spine