Osteoporosis, bone & mineral

QCT-based geometric, densitometric, and biomechanical properties of the aging human thoracolumbar spine

J Bone Miner ResPublished Cross-sectional study

Authors' conclusion

Collectively, these findings delineate spatial and demographic patterns in vertebral strength degeneration and provide normative QCT-based reference data for biomechanical modeling.

Study context

Population
Radiologically healthy post-mortem spines; 9298 intact vertebral bodies T1–L59,298 vertebral bodies
Participants
629 participants
Exposure
Female vs Male
  • Femalen = 194
  • Malen = 435
Outcome
Geometric, densitometric and biomechanical vertebral properties by age, sex, BMI and spinal level
Methodological detailspost-mortem QCT, homogenized finite element (hFE) analysis, mixed linear regression model
  • Post-mortem QCT
  • Homogenized finite element (hFE) analysis
  • Mixed linear regression model

Main finding

As reported in the abstract

Power-law relationship between BMD and yield strength, generalized across all vertebral levels (R2)

0.91

Observational data: associations, not effects.

Original publication

QCT-based geometric, densitometric, and biomechanical properties of the aging human thoracolumbar spine. J Bone Miner Res. Published 16 January 2026. doi:10.1093/jbmr/zjag008

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