Abstract

Background: Differentiating acute from chronic wedge-shaped thoracolumbar vertebral deformities on conventional lateral lumbar radiographs remains clinically challenging, especially when osteoporosis status also needs to be considered. This study aimed to develop and evaluate a You Only Look Once (YOLO)v8n framework for vertebral-level detection and classification of thoracolumbar fractures with osteoporosis-related stratification on lateral lumbar radiographs.

Methods:...