Screening for vertebral fracture with dual x-ray absorptiometry.

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چکیده

Vertebral fractures are highly prevalent in the elderly population, and epidemiologic studies have found that these fractures are associated with an increased risk of future spine or hip fractures independent of bone mineral density. Only 20%-30% of vertebral fractures are recognized clinically; the rest are discovered incidentally on lateral spine radiographs. Lateral spine x-rays have not been recommended as a component of risk assessment for osteoporosis, because of the cost, radiation exposure, and the fact that the x-ray would require a separate procedure in addition to the bone mineral density study using dual x-ray absorptiometry (DXA). However, several densitometers with specialized software are able to perform vertebral fracture assessment (VFA) in conjunction with DXA. The lateral spine scan is performed using a rotating arm; depending on the densitometer used, the patient can either stay in the supine position after the bone density study or is required to move onto the left decubitus position.

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عنوان ژورنال:
  • Technology Evaluation Center Assessment Program. Executive summary

دوره 20 14  شماره 

صفحات  -

تاریخ انتشار 2006