Should vertebral fracture assessment be routine in the DXA room?

Author(s): Sue Barlow

Hospital: Vertec Scientific

Reference: RAD Magazine, 43, 506, 13

Excerpt: 

For many years there has been a dilemma around the importance of vertebral fractures in the treatment plan for osteoporosis, and the under-diagnosis of them in the imaging world from radiologists who perhaps do not see them as unusual in a certain cohort of patients and do not document their presence.

The great majority of individuals at high risk, who have already had at least one osteoporotic fracture, are neither identified nor treated . It has been shown in a retrospective study of chest x-rays in 934 women, that vertebral fractures were present in 130 of them. Of these, only seven per cent went on to receive treatment for osteoporosis.

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