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Repeated vertebral augmentation for new vertebral compression fractures of postvertebral augmentation patients: a nationwide cohort study – how useful is the current clinical gold standard for fracture risk?

Authors Wilson HCP, Abel PD, Shah SIA

Received 16 September 2015

Accepted for publication 23 September 2015

Published 19 October 2015 Volume 2015:10 Pages 1653—1655

DOI https://doi.org/10.2147/CIA.S96526

Checked for plagiarism Yes

Editor who approved publication: Dr Richard Walker

Hannah CP Wilson,1 Paul D Abel,2 S Imran A Shah2

1Department of Post-graduate Students, Imperial College London, Charing Cross Hospital, 2Department of surgery and cancer, Imperial College London, Hammersmith Hospital, London, UK

Further to the recent publication on the “Repeated vertebral augmentation for new vertebral compression fractures of postvertebral augmentation patients: a nationwide cohort study”,1 current data highlight the limitations of dual-energy X-ray absorptiometry scans. In this context, at best, dual-energy X-ray absorptiometry scans (which measure bone mineral density) can account for no greater than 50% of overall bone strength (defined as the ability to resist fracture). This is because the resulting images are two-dimensional and therefore unable to capture skeletal micro-architecture, which also contributes to bone strength.

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