ArticleAnnals of the rheumatic diseases2007
A clinical tool to determine the necessity of spine radiography in postmenopausal women with osteoporosis presenting with back pain.
Article in Annals of the rheumatic diseases, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 41 citations in OpenAlex.
- Diagnostic prediction models for spinal fractures in individuals with spinal pain or trauma: a systematic review and meta-analysis.EClinicalMedicine · 2025Article
- [Secondary fracture prevention/Update osteoporosis guidelines 2023 of the Umbrella Organization Osteology].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Utilizing nomograms to predict prevalent vertebral fracture risk: An analysis of dysmobility syndrome in a community-dwelling population.Biomedical journal · 2022Article
- Diagnosis of vertebral fractures using a low-dose biplanar imaging system.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015Observational
- Accuracy of patient-reported height loss and risk factors for height loss among postmenopausal women.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Article
- Lateral back pain identifies prevalent vertebral fractures in post-menopausal women: cross-sectional analysis of a primary care-based cohort.Rheumatology (Oxford, England) · 2010Article
- Relationship between historical height loss and vertebral fractures in postmenopausal women.Clinical rheumatology · 2009Article
- The broadening spectrum of osteoporotic vertebral fracture.Skeletal radiology · 2009Review
- Clinical relevance of vertebral fractures.Annals of the rheumatic diseases · 2007Article
- Prediction models of prevalent radiographic vertebral fractures among older women.Journal of clinical densitometry : the official journal of the International Society for Clinical DensitometryArticle
- Prediction models of prevalent radiographic vertebral fractures among older men.Journal of clinical densitometry : the official journal of the International Society for Clinical DensitometryArticle
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVertebral fractures are underdiagnosed, although the resulting mortality and morbidity in postmenopausal women with osteoporosis is now recognised. In a population of postmenopausal women with osteoporosis and back pain, symptoms may be related to vertebral fractures or degenerative changes of the spine.
aimTo evaluate a population of postmenopausal women presenting with back pain and factors associated with vertebral fractures which were assessable in a clinical setting in order to determine the necessity for spine radiography.
methodsPatient questioning and physical examination were carried out and spinal radiographic data collected from 410 postmenopausal women with osteoporosis, with an average age of 74 years, who consulted a rheumatologist for back pain. Of these, 215 (52.4%) patients were diagnosed with at least one vertebral fracture. Logistic regression was used to identify the most relevant clinical features associated with existing vertebral fractures, and to derive a quantitative index of risk.
resultsThe model included six parameters: age, back pain intensity, height loss, history of low trauma non-vertebral fractures, thoracic localisation of back pain and sudden occurrence of back pain. The scoring system, or the quantitative index, had a maximal score of 16. For a score >or=7, the probability of existing vertebral fracture was >or=43%. The correlation between this quantitative index and the logistic model probability was 0.98, suggesting an excellent and highly significant approximation of the original prediction equation.
conclusionsFrom six clinical items, an index was built to identify women with osteoporosis and back pain who should have spine radiography. This simple tool may help clinicians to optimise vertebral fracture diagnosis and to make a proper therapeutic decision.
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