Journal of Clinical Densitometry
Volume 11, Issue 1 , Pages 92-108, January 2008

Vertebral Fracture Assessment: The 2007 ISCD Official Positions

  • John T. Schousboe

      Affiliations

    • Park Nicollet Health Services, Minneapolis, MN, USA
    • Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA
    • Task Force Chair.
    • Corresponding Author InformationAddress correspondence to: John T. Schousboe, MD, MS, Park Nicollet Health Services, 3800 Park Nicollet Blvd., Minneapolis, MN 55416.
    • ,
  • Tamara Vokes

      Affiliations

    • Division of Endocrinology, University of Chicago, Chicago, IL, USA
    • Task Force Member.
    • ,
  • Susan B. Broy

      Affiliations

    • Illinois Bone and Joint Institute, Park Ridge, IL, USA
    • Task Force Member.
    • ,
  • Lynne Ferrar

      Affiliations

    • University of Sheffield, Sheffield, UK
    • Task Force Member.
    • ,
  • Fergus McKiernan

      Affiliations

    • Center for Bone Diseases, Marshfield Clinic, Marshfield, WI, USA
    • Task Force Member.
    • ,
  • Christian Roux

      Affiliations

    • Publique-Hôpitaux de Paris, Université Paris-Descartes, Hôpital Cochin, Paris, France
    • Task Force Member.
    • ,
  • Neil Binkley

      Affiliations

    • University of Wisconsin, Madison, WI, USA
    • ISCD PDC Liaison.

Received 5 December 2007; accepted 5 December 2007.

Abstract 

Vertebral fracture assessment (VFA) is an established, low radiation method for detection of prevalent vertebral fractures. Vertebral fractures are usually not recognized clinically at the time of their occurrence, but their presence indicates a substantial risk for subsequent fractures independent of bone mineral density. Significant evidence supporting VFA use for many post-menopausal women and older men has accumulated since the last ISCD Official Position Statement on VFA was published. The International Society for Clinical Densitometry considered the following issues at the 2007 Position Development Conference: (1) What are appropriate indications for Vertebral Fracture Assessment; (2) What is the most appropriate method of vertebral fracture detection with VFA; (3) What is the sensitivity and specificity for detection of vertebral fractures with this method; (4) When should additional spine imaging be performed following a VFA; and (5) What are the reporting obligations for those interpreting VFA images?

Key Words: Dual-energy X-ray absorptiometry, fracture, guideline, imaging, position, vertebral fracture assessment

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1094-6950(07)00256-9

doi:10.1016/j.jocd.2007.12.008

Journal of Clinical Densitometry
Volume 11, Issue 1 , Pages 92-108, January 2008

Article Tools