Effect of Lumbar Epidural Steroid Injections on Osteoporotic Fracture and Bone Mineral Density in Elderly Women with Diabetes Mellitus

Table 3

Prevalence of osteoporosis and osteopenia in postmenopausal women receiving lumbar epidural injections.

	Non-DM group (n = 86)		DM group (n = 86)
	Baseline	1-year F/U	Baseline	1-year F/U
Lumbar spine
Normal	15 (17%)	13 (15%)	12 (14%)	13 (15%)
Osteopenia	37 (43%)	38 (44%)	38 (44%)	39 (45%)
Osteoporosis	34 (40%)	35 (41%)	36 (42%)	34 (40%)
Total femur
Normal	19 (22%)	19 (22%)	19 (22%)	17 (20%)
Osteopenia	48 (56%)	44 (51%)	43 (50%)	48 (56%)
Osteoporosis	19 (22%)	23 (27%)	24 (28%)	21 (24%)
Femoral neck
Normal	14 (16%)	13 (15%)	10 (12%)	10 (12%)
Osteopenia	50 (58%)	50 (58%)	51 (59%)	50 (58%)
Osteoporosis	22 (26%)	23 (27%)	25 (29%)	26 (30%)

Values represent the number of patients (%). The non-DM group consisted of postmenopausal women without diabetes mellitus who received ESI. The DM group consisted of postmenopausal women with diabetes mellitus who received ESI. There were no significant differences in follow-up BMD outcomes between the groups. Bone mineral density data are based on T-scores. Osteopenia was defined as −2.5 SD < BMD T score < −1.0 SD. Osteoporosis was defined as BMD T-score ≤ −2.5 SD. BMD = bone mineral density; ESI = epidural steroid injection; F/U = follow-up.