Calcified Tissue International

, Volume 73, Issue 6, pp 550–554

Evaluation of Vertebral Fractures on Lateral Chest Radiographs of Inner-City Postmenopausal Women

Authors

  • L. W. Mui
    • Department of RadiologyAlbert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York
    • Department of RadiologyAlbert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York
  • D. D. Alterman
    • Department of RadiologyAlbert Einstein College of Medicine, Jacobi Medical Center, Bronx, New York
  • N. Haramati
    • Department of RadiologyAlbert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York
  • M. N. Zelefsky
    • Department of RadiologyAlbert Einstein College of Medicine, Jacobi Medical Center, Bronx, New York
  • D. Hamerman
    • Department of MedicineAlbert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York
Clinical Investigations

DOI: 10.1007/s00223-003-0064-y

Cite this article as:
Mui, L., Haramati, L., Alterman, D. et al. Calcif Tissue Int (2003) 73: 550. doi:10.1007/s00223-003-0064-y

Abstract

We assessed the prevalence of vertebral fractures as a marker for osteoporosis on lateral chest radiographs in inner-city, minority, postmenopausal women. We reviewed outpatient lateral chest radiographs on all women 55 years and older at an inner-city hospital during two randomly selected months, August 2000 and April 2002. There were 106 women with a mean age of 65 (range 55–89) years, 45 were Hispanic, 42 Black, 9 White, 10 of other ethnicity. Deformity was graded on a 0–3 scale with Grades 2 (moderate) and 3 (severe) deformities considered fractures. Interval lateral chest radiographs within 1–2 years were evaluated. Of the group 25% (26/106) had vertebral fractures. The fracture prevalence increased with age: 13% (17/54) of women under 65 years and 37% (19/52) of women 65 years and older had fractures (P < 0.05). The fracture was described as part of the radiographic report in only 15% (4/26) of the women. Of the group 15% (16/106) had interval lateral chest radiographs. Among those with interval lateral chest radiographs, 19% (3/16) developed new fractures. In this series 29% (31/106) of women were scheduled for bone density studies, but the studies were only completed in 6% (6/106). Lateral chest radiographs showed that vertebral fractures occurred commonly, increased with age, and progressed on follow-up. In a population of underserved minority women, the lateral chest radiograph provides an opportunity to identify women with osteoporosis for possible treatment.

Keywords

Radiography chestOsteoporosisSpine, Fractures

Copyright information

© Springer-Verlag 2003