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Riassunto

Diversi studi prospettici hanno dimostrato come la misurazione della massa ossea possa predire il rischio di fratture e questo sembra vero per tutti i tipi di fratture, incluse quelle vertebrali e femorali [1,2] La densità minerale ossea (BMD) risulta significativamente correlata con la resistenza dell’osso [3]. La resistenza, insieme alla probabilità di subire traumi efficienti, è un importante determinante della suscettibilità alle fratture; ne consegue che la BMD è a sua volta correlata con il rischio di fratture [4].

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Bibliografia

  1. Hui SL, Slemenda CW, Johnston CC (1988) Age and bone mass as predictors of fracture in a prospective study. J Clin Invest 81:1804–1809

    Article  CAS  PubMed  Google Scholar 

  2. Melton W, Waher HW, Richelson LS et al (1986) Osteoporosis and the risk of hip fractures. Am J Epidemiol 124:254–261

    PubMed  Google Scholar 

  3. Mazzess RB, Wahner HW (1988) Nuclear medicine and densitometry. In: Riggs BL, Melton LJ (eds) Osteoporosis: etiology, diagnosis, and management. Raven Press, New York, pp 251–295

    Google Scholar 

  4. Ross PD, David JW, Vogel JM et al (1990) A critical review of bone mass and the risk of fractures in osteoporosis. Calcif Tissue Int 46:149–161

    Article  CAS  PubMed  Google Scholar 

  5. Gardsell P, Johnell O, Nilsson B (1991) The predictive value of bone loss for fragility fractures in women: a longitudinal study over 15 years. Calcif Tissue Int 49:90–94

    Article  CAS  PubMed  Google Scholar 

  6. Pouilles JM, Tremollieres F, Ribot C (1993) Spine and femur densitometry at the menopause: are both sites necessary in the assessment of the risk of osteoporosis? Calcif Tissue Int 52:344–347

    Article  CAS  PubMed  Google Scholar 

  7. DavisJW, Ross PD, Wasnich RD (1994) Evidence for both generalized and regional low bone mass among elderly women. J Bone Miner Res 9:305–309

    Article  CAS  PubMed  Google Scholar 

  8. Cummings SR, Black DM, Nevitt MC et al (1993) Bone density at various sites for prediction of hip fractures: the study of osteoporotic fractures. Lancet 341:72–75

    Article  CAS  PubMed  Google Scholar 

  9. Wasnich R (1993) Bone mass measurement: prediction of risk. Am J Med 95:65–105

    Article  Google Scholar 

  10. Kanis JA, Melton LJ, Christiansen C et al (1994) The diagnosis of osteoporosis. J Bone Miner Res 9:1137–1141

    Article  CAS  PubMed  Google Scholar 

  11. World Health Organisation (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. World Health Organ Tech Rep Ser No 843

    Google Scholar 

  12. Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. Br Med J 312:1254–1259

    CAS  Google Scholar 

  13. Stone KL, Seeley DG, Lui L-Y et al (2003) BMD at multiple sites and risk of fracture of multiple types: long-term results from the Study of Osteoporotic Fractures. J Bone Miner Res 18:1947–1954

    Article  PubMed  Google Scholar 

  14. Binkley N, Bilezikian JP, Kendler DL et al (2006) Official Positions of the International Society for Clinical Densitometry and Executive Summary of the 2005 Position Development Conference. J Clin Densitom 9:4–14

    Article  PubMed  Google Scholar 

  15. Kanis JA, Johnell O, Oden A et al (2001) Ten year probabilities of osteoporosis fractures according to BMD and diagnosis thresholds. Osteoporos Int 12:989–995

    Article  CAS  PubMed  Google Scholar 

  16. Kanis JA, Oden A, Johnell O et al (2007) The use of clinical risk factors enhances the performance of BMD in the prediction of hip and osteoporotic fractures in men and women. Osteoporos Int 18:1033–1046

    Article  CAS  PubMed  Google Scholar 

  17. Kanis JA, Borgstrom F, De Laet C et al (2005) Assessment of fracture risk. Osteoporos Int 16:581–589

    Article  PubMed  Google Scholar 

  18. De Laet C, Oden A, Johansson H et al (2005) The impact of the use of multiple risk factors for fracture on case-finding strategies: a mathematical approach. Osteoporosis Int 16:313–318

    Article  Google Scholar 

  19. Borgstrom F, Johnell O, Kanis JA et al (2006) At what hip fracture risk is it cost effective to treat? International intervention thresholds for the treatment of osteoporosis. Osteoporos Int 17:1459–1471

    Article  CAS  PubMed  Google Scholar 

  20. Johansson H, Oden A, Jonsson B et al (2004) Optimization of BMD measuraments to identify high risk groups for treatment. A test analysis. J Bone Miner Res, 19:906–913

    Article  PubMed  Google Scholar 

  21. Blake GM, Fogelman I (2007) Role of dual-energy x-ray absorptiometry in the diagnosis and treatment of osteoporosis. J Clin Densitom 10:102–110

    Article  PubMed  Google Scholar 

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Albanese, C.V., Cepollaro, C. (2009). BMD e predizione del rischio di frattura. In: Osteoporosi e malattie metaboliche dell’osso. Springer, Milano. https://doi.org/10.1007/978-88-470-1357-5_38

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  • DOI: https://doi.org/10.1007/978-88-470-1357-5_38

  • Publisher Name: Springer, Milano

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