Repeating Vertebral Fracture Assessment: 2019 ISCD Official Position

Joao Lindolfo Cunha Borges, Marina Sousa da Silva, Robert J. Ward, Kathryn M. Diemer, Swan S. Yeap, E. Michael Lewiecki

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


Vertebral fracture (VF) is the most common type of osteoporotic fracture. VFs are associated with a decline in quality of life and high morbidity and mortality. The presence of a VF is a significant risk factor for developing another fracture; however, most VFs are not clinically recognized and diagnosed. Vertebral fracture assessment by dual-energy X-ray absorptiometry is a low cost, low radiation, convenient, and reliable method to identify VFs. The finding of a previously unrecognized VF may change the assessment of fracture risk, diagnostic classification, and treatment strategies. Vertebral fracture assessment or radiographic lateral spine imaging should be repeated in patients with continued high risk for fracture (e.g., historical height loss >4 cm [>1.5 inches], self-reported but undocumented vertebral fracture, or glucocorticoid therapy equivalent to ≥5 mg of prednisone or equivalent per day for greater than or equal to 3 months).

Original languageEnglish
Pages (from-to)484-488
Number of pages5
JournalJournal of Clinical Densitometry
Issue number4
StatePublished - Oct 1 2019


  • DXA
  • Fracture
  • Monitor
  • Osteoporosis
  • VFA


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