What are the NOF recommendations for vertebral imaging for osteoporosis?

Updated: Sep 26, 2019
  • Author: Monique Bethel, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

The National Osteoporosis Foundation (NOF) recommends vertebral imaging for the following patients [2] :

  • All women age 70 and older and all men age 80 and older whose BMD T-score at the spine, total hip, or femoral neck is –1.0 or lower

  • All women age 65 to 69 and all men age 70-79 whose BMD T-score at the spine, total hip, or femoral neck is –1.5 or lower

Vertebral imaging is also recommended for postmenopausal women and men age 50 and older with the following specific risk factors:

  • Low-trauma fractures

  • Height loss of 1.5 inches (4 cm) or more since peak height at age 20

  • Height loss of 0.8 inches (2 cm) or more since a previously documented height measurement

  • Recent or ongoing long-term glucocorticoid treatment

If bone density testing is not available, vertebral imaging may be considered based on age alone.


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