[Vertebral fracture assessed by DXA: a new risk factor for fracture].
At the age of 50, a woman has a lifetime risk of more than 40% to present a vertebral fracture. More than 60% of vertebral fractures remain undiagnosed. As a consequence it is of major importance to develop screening strategies to detect these fractures. Vertebral fracture assessment (VFA) by DXA allows one to detect vertebral fracture from T4 to L4 using DXA devices, while performing also during the same visit the bone mineral density measurement. Such an approach should improve the evaluation of fracture risk and therapeutic indication. Compared to the standard X-ray assessment, VFA highly enables to detect moderate or severe vertebral fractures below T6.
Krieg
Marc-Antoine
MA
Service de médecine interne, CHUV, Lausanne. marc-antoine.krieg@chuv.ch
Lamy
Olivier
O
Hans
Didier
D
D015502:Absorptiometry, Photon; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density / Q000502:physiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D012307:Risk Factors; D012737:Sex Factors; D016103:Spinal Fractures / Q000145:classification / Q000000981:diagnostic imaging*; D013904:Thoracic Vertebrae / Q000293:injuries