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Vertebral Fracture Identification as Part of a Comprehensive Risk Assessment in Patients with Osteoporosis

  • Epidemiology and Pathophysiology (F Cosman and D Shoback, Section Editors)
  • Published:
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Abstract

Purpose of Review

To review current evidence regarding the vertebral fracture prevalence, the accuracy of vertebral fracture identification on current imaging technologies, and the potential impact of vertebral fracture identification on fracture risk.

Recent Findings

Important new studies have clarified the features of prevalent vertebral fracture that most strongly predict incident fractures. Age- and sex-stratified estimates of vertebral fracture prevalence on densitometric lateral spine images in the US population are now available. The accuracy of densitometric vertebral fracture assessment, how computed tomography scans and other spinal images obtained for indications other than vertebral fracture assessment can be leveraged to detect prevalent vertebral fractures, and the potential impact of vertebral fracture assessment on patient and provider fracture risk management behavior have been clarified.

Summary

Substantial progress has been made regarding screening strategies using lateral spine imaging to detect prevalent vertebral fracture in the older population. Further research regarding implementation of these strategies in clinical practice and their impact on clinical outcomes is needed.

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Authors and Affiliations

  1. Park Nicollet Osteoporosis Center, HealthPartners Inc., Bloomington, MN, USA

    John T. Schousboe

  2. HealthPartners Institute, Minneapolis, MN, USA

    John T. Schousboe

  3. Division of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA

    John T. Schousboe

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  1. John T. Schousboe
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This article is part of the Topical Collection on Epidemiology and Pathophysiology

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Schousboe, J.T. Vertebral Fracture Identification as Part of a Comprehensive Risk Assessment in Patients with Osteoporosis. Curr Osteoporos Rep 16, 573–583 (2018). https://doi.org/10.1007/s11914-018-0472-6

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