title: Radiologic assessment of osteoporotic vertebral fractures: diagnostic and prognostic implications.
abstract: As populations age osteoporosis becomes an increasingly important public health issue. Among osteoporotic fractures vertebral fractures are of particular relevance: they are the most common fractures, frequently are asymptomatic but have an important influence on prognosis and morbidity in the osteoporotic patient. Previous studies have suggested that these fractures are frequently not diagnosed and that radiologists miss a high percentage of osteoporotic, vertebral fractures present on lateral chest radiographs. The aims of this review are (1) to emphasize the important role that radiologists play in the accurate and clear reporting of vertebral fractures, (2) to provide guidance in assessing these fractures in radiographs, MRI and computed tomography imaging of the vertebral spine and (3) to sensitize the radiologist in diagnosing fractures in chest radiographs.
authors.affiliation: Department of Radiology, University of California, San Francisco, 400 Parnassus Ave., A 367, P.O. Box 0628, San Francisco, CA, 94143-0628, USA. tmlink@radiology.ucsf.edu
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Link
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Guglielmi
authors.forename: Cornelis
authors.initials: C
authors.lastname: van Kuijk
authors.forename: Judith E
authors.initials: JE
authors.lastname: Adams
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010024:Osteoporosis / Q000150:complications* / Q000175:diagnosis; D015995:Prevalence; D011379:Prognosis; D018570:Risk Assessment; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D014057:Tomography, X-Ray Computed