Bone densitometry in the diagnosis of vertebral fractures in children: Accuracy of vertebral fracture assessment

Bone ◽  
2007 ◽  
Vol 41 (3) ◽  
pp. 353-359 ◽  
Author(s):  
Mervi K. Mäyränpää ◽  
Ilkka Helenius ◽  
Helena Valta ◽  
Mikko I. Mäyränpää ◽  
Sanna Toiviainen-Salo ◽  
...  
2014 ◽  
Vol 83 (12) ◽  
pp. 2177-2180 ◽  
Author(s):  
H.C. van der Jagt-Willems ◽  
B.C. van Munster ◽  
M. Leeflang ◽  
E. Beuerle ◽  
C.R. Tulner ◽  
...  

2010 ◽  
Vol 61 (4) ◽  
pp. 194-200 ◽  
Author(s):  
Pieter L. Jager ◽  
Riemer H.J.A. Slart ◽  
Colin L. Webber ◽  
Jonathan D. Adachi ◽  
Alexandra L. Papaioannou ◽  
...  

Purpose Vertebral fractures often go unnoticed, while they constitute a significant risk factor for new fractures, independent of the bone density. Vertebral Fracture Assessment (VFA) is a new feature on DXA bone densitometry equipment. Our purpose was to determine the added value of VFA and its impact on the Canadian fracture risk classification using data from a Dutch academic cohort. Methods All 958 consecutive patients (64% female, mean age 53 [20–94], mean weight 75 kg [32–150]) who underwent BMD measurement at the University Medical Center Groningen, The Netherlands also underwent VFA in the same session. Results The prevalence of vertebral fractures was 26%. In 68% of these patients this fracture was unknown. The severity was “mild” (20%–25% height loss) in 43%, “moderate” (25%–35%) in 44% and “severe” (>35% height loss) in 13%. Even after excluding mild fractures, the prevalence of vertebral fractures was 17%. In the 28% with normal BMD the vertebral fracture prevalence was still 18%, in the 43% with osteopenia 23%, and in the 29% with osteoporosis 36%. The Canadian risk classification was “low fracture risk” in 68%, “moderate” in 19%, and “high” in 13%. Adding VFA altered the classification in 20% of the patients, to become 54%, 27%, and 19%, respectively. Conclusions VFA added to BMD is a patient friendly diagnostic tool with a high diagnostic yield, as it detected unknown vertebral fractures and altered diagnostic classification in approximately 1 out of every 5 patients. These results suggest that BMD plus VFA may become the new standard in osteoporosis testing.


Rheumatology ◽  
2010 ◽  
Vol 49 (7) ◽  
pp. 1303-1310 ◽  
Author(s):  
A. El Maghraoui ◽  
A. Rezqi ◽  
A. Mounach ◽  
L. Achemlal ◽  
A. Bezza ◽  
...  

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