A new manual method for assessing two-dimensional cancellous bone structure: Comparison between iliac crest and lumbar vertebra

Abstract

We have developed a simple method for the direct analysis of two-dimensional trabecular structure. Using this method, we have compared the structure of the left and right iliac crest and the second lumbar vertebra and studied the relationship between two-dimensional trabecular structure and the ultimate compressive stress of bone samples from the second lumbar vertebra. Transverse cores were taken from the left and right iliac crests and second lumbar vertebrae of 35 subjects (12 females) who died suddenly. The trabecular structure was subdivided into nodes (node count) and free ends (free end count), which were expressed per square millimeter of cancellous space. A node was defined as the point of junction between two or more trabeculae; a free end was defined as the end of a trabecula that was unconnected in the plane of the section to any other trabecular element. The following struts were defined by drawing a line between the nodes and the free ends: node to node, node to free end, free end to free end, and cortex-derived struts. Strut lengths were measured and expressed as a percentage of the total strut length and per square millimeter of cancellous space. Intraobserver variation was generally low, with coefficients of variation for repeat measurements in the range 3.9-17.8%. There was no statistically significant difference between left and right iliac crests for any of the variables measured. With the exception of cortex-derived struts, there was no statistically significant correlation between crests for any variable.(ABSTRACT TRUNCATED AT 250 WORDS)