Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.

Objective: To analyse whether bone mineral density (BMD) assessment is required in postmenopausal women presenting with low trauma vertebral fracture. Methods: Women with vertebral fracture diagnosed over a 10 year period were recruited from our database. The following were excluded: (a) patients wi...

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Autores: Nolla Solé, Joan Miquel, Gómez Vaquero, Carmen, Fiter, Jordi, Roig Vilaseca, Daniel, Mateo Soria, Lourdes, Rozadilla Sacanell, Antoni, Romera i Baurés, Montserrat, Valverde García, José, Roig Escofet, D. (Daniel)
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2002
País:España
Recursos:Universidad de Barcelona
Repositório:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/22465
Acesso em linha:https://hdl.handle.net/2445/22465
Access Level:Acceso aberto
Palavra-chave:Densitometria òssia
Menopausa
Fractures
Bone densitometry
Menopause
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spelling Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.Nolla Solé, Joan MiquelGómez Vaquero, CarmenFiter, JordiRoig Vilaseca, DanielMateo Soria, LourdesRozadilla Sacanell, AntoniRomera i Baurés, MontserratValverde García, JoséRoig Escofet, D. (Daniel)Densitometria òssiaMenopausaFracturesBone densitometryMenopauseFracturesObjective: To analyse whether bone mineral density (BMD) assessment is required in postmenopausal women presenting with low trauma vertebral fracture. Methods: Women with vertebral fracture diagnosed over a 10 year period were recruited from our database. The following were excluded: (a) patients with high energy trauma; (b) patients with malignancies; (c) patients with a metabolic bone disease other than osteoporosis. All postmenopausal women were included in whom BMD had been evaluated at both the lumbar spine and femoral neck by dual energy x ray absorptiometry during the six months after the diagnosis. Patients with a potential cause of osteoporosis other than age and menopause were not considered. A total of 215 patients were identified. Results: The mean (SD) age of the patients was 65.9 (6.9) years. BMD at the lumbar spine was 0.725 (0.128) g/cm2 and the T score was ¿2.94 (1.22); BMD at the femoral neck was 0.598 (0.095) g/cm2 and the T score was ¿2.22 (0.89). The BMD of the patients was significantly lower than that of the general population at both the lumbar spine and femoral neck. When the lowest value of the two analysed zones was considered, six patients (3%) showed a normal BMD, 51 (23.5%) osteopenia, and 158 (73.5%) osteoporosis. The prevalence of osteoporosis at the femoral neck increased with age; it was 25% in patients under 60, 35% in patients aged 60¿70, and 60% in patients over 70. Conclusion: These results indicate that bone densitometry is not required in postmenopausal women with clinically diagnosed vertebral fractures if it is performed only to confirm the existence of a low BMD.BMJ Group2002info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/22465Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció digital del document publicat a: http://dx.doi.org/10.1136/ard.61.1.73Annals of the Rheumatic Diseases, 2002, vol. 61, núm. 1, p. 73-75http://dx.doi.org/10.1136/ard.61.1.73(c) BMJ Publishing Group Ltd, 2002info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/224652026-05-27T06:46:51Z
dc.title.none.fl_str_mv Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
title Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
spellingShingle Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
Nolla Solé, Joan Miquel
Densitometria òssia
Menopausa
Fractures
Bone densitometry
Menopause
Fractures
title_short Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
title_full Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
title_fullStr Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
title_full_unstemmed Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
title_sort Usefulness of bone densitometry in postmenopausal women with clinically diagnosed vertebral fractures.
dc.creator.none.fl_str_mv Nolla Solé, Joan Miquel
Gómez Vaquero, Carmen
Fiter, Jordi
Roig Vilaseca, Daniel
Mateo Soria, Lourdes
Rozadilla Sacanell, Antoni
Romera i Baurés, Montserrat
Valverde García, José
Roig Escofet, D. (Daniel)
author Nolla Solé, Joan Miquel
author_facet Nolla Solé, Joan Miquel
Gómez Vaquero, Carmen
Fiter, Jordi
Roig Vilaseca, Daniel
Mateo Soria, Lourdes
Rozadilla Sacanell, Antoni
Romera i Baurés, Montserrat
Valverde García, José
Roig Escofet, D. (Daniel)
author_role author
author2 Gómez Vaquero, Carmen
Fiter, Jordi
Roig Vilaseca, Daniel
Mateo Soria, Lourdes
Rozadilla Sacanell, Antoni
Romera i Baurés, Montserrat
Valverde García, José
Roig Escofet, D. (Daniel)
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Densitometria òssia
Menopausa
Fractures
Bone densitometry
Menopause
Fractures
topic Densitometria òssia
Menopausa
Fractures
Bone densitometry
Menopause
Fractures
description Objective: To analyse whether bone mineral density (BMD) assessment is required in postmenopausal women presenting with low trauma vertebral fracture. Methods: Women with vertebral fracture diagnosed over a 10 year period were recruited from our database. The following were excluded: (a) patients with high energy trauma; (b) patients with malignancies; (c) patients with a metabolic bone disease other than osteoporosis. All postmenopausal women were included in whom BMD had been evaluated at both the lumbar spine and femoral neck by dual energy x ray absorptiometry during the six months after the diagnosis. Patients with a potential cause of osteoporosis other than age and menopause were not considered. A total of 215 patients were identified. Results: The mean (SD) age of the patients was 65.9 (6.9) years. BMD at the lumbar spine was 0.725 (0.128) g/cm2 and the T score was ¿2.94 (1.22); BMD at the femoral neck was 0.598 (0.095) g/cm2 and the T score was ¿2.22 (0.89). The BMD of the patients was significantly lower than that of the general population at both the lumbar spine and femoral neck. When the lowest value of the two analysed zones was considered, six patients (3%) showed a normal BMD, 51 (23.5%) osteopenia, and 158 (73.5%) osteoporosis. The prevalence of osteoporosis at the femoral neck increased with age; it was 25% in patients under 60, 35% in patients aged 60¿70, and 60% in patients over 70. Conclusion: These results indicate that bone densitometry is not required in postmenopausal women with clinically diagnosed vertebral fractures if it is performed only to confirm the existence of a low BMD.
publishDate 2002
dc.date.none.fl_str_mv 2002
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/22465
url https://hdl.handle.net/2445/22465
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció digital del document publicat a: http://dx.doi.org/10.1136/ard.61.1.73
Annals of the Rheumatic Diseases, 2002, vol. 61, núm. 1, p. 73-75
http://dx.doi.org/10.1136/ard.61.1.73
dc.rights.none.fl_str_mv (c) BMJ Publishing Group Ltd, 2002
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) BMJ Publishing Group Ltd, 2002
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMJ Group
publisher.none.fl_str_mv BMJ Group
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300724

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