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J Clin Densitom. 2019 Jul 10. pii: S1094-6950(19)30151-9. doi: 10.1016/j.jocd.2019.07.005. [Epub ahead of print]

Repeating Vertebral Fracture Assessment: The 2019 ISCD Official Position.

Author information

1
Centro de Pesquisa Católica do Brasil, Brasilia, Brazil.
2
Tufts Medical Center, Boston, MA, USA.
3
Washington University School of Medicine, St. Louis, MO, USA.
4
Subang Jaya Medical Centre, Selangor, Malaysia.
5
New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, USA. Electronic address: elewiecki@salud.unm.edu.

Abstract

Vertebral fracture (VF) is the most common type of osteoporotic fracture. VFs are associated with a decline in quality of life and high morbidity and mortality. The presence of a VF is a significant risk factor for developing another fracture; however, most VFs are not clinically recognized and diagnosed. Vertebral fracture assessment by dual-energy X-ray absorptiometry is a low cost, low radiation, convenient, and reliable method to identify VFs. The finding of a previously unrecognized VF may change the assessment of fracture risk, diagnostic classification, and treatment strategies. Vertebral fracture assessment or radiographic lateral spine imaging should be repeated in patients with continued high risk for fracture (e.g., historical height loss >4 cm [>1.5 inches], self-reported but undocumented vertebral fracture, or glucocorticoid therapy equivalent to ≥5 mg of prednisone or equivalent per day for greater than or equal to 3 months).

KEYWORDS:

DXA; Fracture; Monitor; Osteoporosis; VFA

PMID:
31375350
DOI:
10.1016/j.jocd.2019.07.005

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