Fracture Prediction and the Definition of Osteoporosis in Children and Adolescents: The ISCD 2007 Pediatric Official Positions

Rauch, Frank; Plotkin, Horacio; DiMeglio, Linda; Engelbert, Raoul H.; Henderson, Richard C.; Munns, Craig; Wenkert, Deborah; Zeitler, Philip

doi:10.1016/j.jocd.2007.12.003

« Previous Next »Journal of Clinical Densitometry
Volume 11, Issue 1 , Pages 22-28, January 2008

Fracture Prediction and the Definition of Osteoporosis in Children and Adolescents: The ISCD 2007 Pediatric Official Positions

Frank Rauch
- Shriners Hospital for Children, Montreal, Canada
- Address correspondence to: Frank Rauch, MD, Genetics Unit, Shriners Hospital for Children, 1529 Cedar Avenue, Montreal, QC H3G 1A6, Canada.
- Task Force Chair.
- Task Force Liaison.
Horacio Plotkin
- Children's Hospital and University of Nebraska Medical Center, Omaha, NE, USA
- Task Force Chair.
Linda DiMeglio
- Riley Hospital, Indiana University, Indianapolis, IN, USA
- Task Force Member.
Raoul H. Engelbert
- Utrecht University, Utrecht, Netherlands
- Task Force Member.
Richard C. Henderson
- University of North Carolina, Chapel Hill, NC, USA
- Task Force Member.
Craig Munns
- Westmead Hospital, The University of Sydney, Sydney, Australia
- Task Force Member.
Deborah Wenkert
- Shriners Hospital for Children, St. Louis University, St. Louis, MO, USA
- Task Force Member.
Philip Zeitler
- University of Colorado, Denver, CO, USA
- Task Force Member.

Received 5 December 2007; accepted 5 December 2007.

Abstract

Osteoporosis in adults has been defined on the basis of densitometric criteria, but at present the term osteoporosis does not have a widely recognized definition in pediatrics. Consequently, the International Society for Clinical Densitometry (ISCD) 2007 Position Development Conference reviewed the literature describing the relationship between bone densitometric studies and fractures in apparently healthy children and adolescents, and prepared Official Positions regarding the definition of osteoporosis in children and adolescents. The ISCD Official Positions with respect to the above issues, as well as the rationale and evidence used to derive these positions, are presented here.

Key Words: Dual-energy X-ray absorptiometry, fracture, pediatric