What is the role of plain radiography in the workup of organ transplantation-related osteoporosis?

Updated: Jul 02, 2020
  • Author: Carmel M Fratianni, MD, FACE; Chief Editor: George T Griffing, MD  more...
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Answer

Answer

Because the prevalence of occult, asymptomatic fractures (in particular, spinal compression fractures) is considerable, complete spine radiographs may be obtained (see images below). [2] Further, radiographs of any painful bone sites should be obtained to help exclude the presence of Looser zones or milkman fractures, which are pathognomonic for osteomalacia.

Osteoporotic spine. Note the considerable reductio Osteoporotic spine. Note the considerable reduction in overall bone density and the lateral wedge fracture of L2.
Anteroposterior and lateral radiographs of an L1 o Anteroposterior and lateral radiographs of an L1 osteoporotic wedge compression fracture.

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