Sottostima delle fratture vertebrali in una popolazione italiana: confronto tra radiogrammi tradizionali e misurazioni quantitative

Translated title of the contribution: Underreported vertebral fractures in an Italian population: Comparison of plain radiographs vs quantitative measurements

G. Difede, G. Scalzo, S. Bucchieri, G. Moretti, G. Campisi, N. Napoli, G. Battista Rini, G. Guglielmi

Research output: Contribution to journalArticle


Purpose: Vertebral fractures (VFs) are the hallmark of osteoporosis and are responsible for almost 70,000 hospital admissions yearly, implying social costs and impaired quality of life for patients. In recent years, several techniques, both qualitative and quantitative, have been proposed for VF diagnosis, but a gold standard is not yet available and the visual semiquantitative (VSQ) assessment proposed by Genant remains the most validated. However, given the lack of a standardised method, in clinical practice, the diagnosis of VF is often missed, and patients are not correctly assessed. The aim of our study was to estimate the percentage of VFs not detected in clinical practice in italian population using the VSQ method and a new morphometric technique. Materials and methods: In 283 postmenopausal women referred to our clinic for osteoporosis screening, we performed a clinical examination, plain spinal radiographs (for VSQ assessment) and digital computerised morphometry (DCM) to assess VFs. Bone density was measured using dual-energy X-ray absorptiometry (DXA). Results: Forty-seven percent of patients had a T score

Original languageItalian
Pages (from-to)1101-1110
Number of pages10
JournalRadiologia Medica
Issue number7
Publication statusPublished - Oct 2010


ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

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