Calcified Tissue International

, Volume 73, Issue 6, pp 550–554

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

  • L. W. Mui
  • L. B. Haramati
  • D. D. Alterman
  • N. Haramati
  • M. N. Zelefsky
  • D. Hamerman
Clinical Investigations

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 chest Osteoporosis Spine, Fractures 

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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • L. W. Mui
    • 1
  • L. B. Haramati
    • 1
  • D. D. Alterman
    • 2
  • N. Haramati
    • 1
  • M. N. Zelefsky
    • 2
  • D. Hamerman
    • 3
  1. 1.Department of RadiologyAlbert Einstein College of Medicine, Montefiore Medical Center, Bronx, New YorkUSA
  2. 2.Department of RadiologyAlbert Einstein College of Medicine, Jacobi Medical Center, Bronx, New YorkUSA
  3. 3.Department of MedicineAlbert Einstein College of Medicine, Montefiore Medical Center, Bronx, New YorkUSA

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