Posts Tagged ‘Spine Fracture’
What determines “osteoporosis”? Is it DXA and BMD? Perhaps VFA and the lateral spine? What is the importance of Kyphosis? When is a collapsed vertebra a fracture? These are all questions for ISCD 2012.
The International Society for Clinical Densitometry meets this week at the 2012 annual meeting. As a society, we began by studying DXA as a tool to identify individuals at increased Risk of Fracture. We now realize that DXA and BMD are only part of the analysis. FRAX has been a major step forward. We will be sharing our observations and advancing our collective knowledge.
The researchers for the New England Journal of Medicine article about DXA counted only those few vertebral (spine) fractures that were recognized as fractures. Most vertebral fractures, especially in older women and in men, are mistaken for muscle pulls or arthritis.
Usually bones in the spine gradually crumble rather than suddenly crunch. These “silent” fractures count the same as (recognized) “clinical” fractures when calculating Future Fracture Risk and planning care. The researchers ignored this very important detail.
A reader asked “Why do I keep breaking?”
If you do have more than one Fragility Fracture, you certainly need to find out why! Every Fracture that you have increases the chance of another Fracture unless you find and correct the underlying problem.