Repeating Vertebral Fracture Assessment: 2019 ISCD Official Position
Joao Lindolfo Cunha Borges1, Marina Sousa da Silva1, Robert J Ward2
1Centro de Pesquisa Católica do Brasil, Brasilia, Brazil.
Summary
Vertebral fractures (VFs) are common osteoporotic fractures often missed. Early identification using vertebral fracture assessment can improve fracture risk management and patient outcomes.
Area of Science:
- Osteoporosis research
- Geriatric medicine
- Radiology
Background:
- Vertebral fractures (VFs) are the most common osteoporotic fracture, leading to reduced quality of life and increased mortality.
- Most VFs remain undiagnosed, despite being a major risk factor for subsequent fractures.
Purpose of the Study:
- To highlight the significance of vertebral fracture assessment (VFA) in identifying unrecognized VFs.
- To emphasize the impact of VFA on fracture risk stratification and treatment decisions.
Main Methods:
- Utilizing dual-energy X-ray absorptiometry (DXA) for vertebral fracture assessment (VFA).
- VFA is described as a cost-effective, low-radiation, and reliable diagnostic method.
Main Results:
- Unrecognized VFs can alter fracture risk assessment, diagnostic classification, and treatment strategies.
- VFA is crucial for identifying patients who may benefit from further intervention.
Conclusions:
- Vertebral fracture assessment (VFA) is essential for managing osteoporosis and preventing future fractures.
- Repeat VFA or lateral spine imaging is recommended for high-risk patients, including those with height loss or long-term glucocorticoid use.
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