ArticleBMC musculoskeletal disorders2018
The prevalence and under-diagnosis of vertebral fractures on chest radiograph.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed, 62 citations in OpenAlex.
- The hidden fracture: a retrospective study of fragility vertebral fracture in patients with hip fracture.Archives of osteoporosis · 2026Article
- Concomitant osteoporotic vertebral compression fracture and infectious spondylitis in a patient with herpes zoster: A case report.Medicine · 2026Article
- Management of older adults consulting in GP surgery practices with back pain in UK Clinical Practice Research Datalink Aurum: population based study.BMC musculoskeletal disorders · 2026Article
- A nomogram for predicting low bone mineral density in the elderly using chest CT.Frontiers in endocrinology · 2026Article
- Deep Learning-Based Assessment of the Value of Vertebral Structural Parameters in Predicting Osteoporotic Vertebral Compression Fractures on Opportunistic CT Scans.International journal of general medicine · 2026Article
- Advancing Spine Fracture Detection: The Role of Artificial Intelligence in Clinical Practice.Korean journal of neurotrauma · 2025Review
- Preoperative occult vertebral fracture is a stronger predictor than osteopenia of the clinical outcomes after gastrectomy for gastric cancer.Oncology letters · 2025Article
- Continuity and volume of bone cement and anti osteoporosis treatment were guarantee of good clinical outcomes for percutaneous vertebroplasty: a multicenter study.BMC musculoskeletal disorders · 2025Article
- Osteoporotic vertebral fractures: an update.SICOT-J · 2025Article
- Utility of osteoporosis screening based on estimation of bone mineral density using bidirectional chest radiographs with deep learning models.Frontiers in medicine · 2025Article
- Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain.Archives of osteoporosis · 2024Article
- Suboptimal osteoporosis care in hospitalized patients: a retrospective analysis of vertebral compression fractures detected on computed tomography.Rheumatology international · 2024Article
- Evaluating osteoporosis and bone quality in the aging spine: modern considerations for surgical management in the geriatric population.GeroScience · 2024Review
- An overview of the performance of AI in fracture detection in lumbar and thoracic spine radiographs on a per vertebra basis.Skeletal radiology · 2024Article
- Value of Hounsfield units measured by chest computed tomography for assessing bone density in the thoracolumbar segment of the thoracic spine.Asian spine journal · 2024Article
- Vertebral fracture severity assessment on anteroposterior radiographs with a new semi-quantitative technique.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Opportunistically identifiable vertebral fractures on routine radiological imaging predict mortality: observational cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Observational
- Analysis of factors related to osteoporotic vertebral fracture in prostate cancer patients.Discover oncology · 2024Article
- An online clinical decision tool to screen for vertebral fragility fractures (Vfrac) in older women presenting with back pain in general practice: protocol for a feasibility study in preparation for a future cluster randomised controlled trial.Archives of osteoporosis · 2024Article
- Conventional X-rays in the diagnosis and follow-up of vertebral fractures in patients with acromegaly: a real-life study.Journal of endocrinological investigation · 2024Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundVertebral fracture is the most common fragility fracture but it remains frequently unrecognized and is underdiagnosed worldwide. In this retrospective study, we examined the prevalence of moderate and severe vertebral fractures on chest radiographs of hospitalized female patients aged 50 years and older and determined missed diagnosis of vertebral fractures in the original radiology reports.
methods3216 female patients 50 years of age and older were enrolled in our study. The patients' medical records including their original radiology reports and lateral chest radiographs were retrospectively reviewed by the study radiologists who had training certificates from the International Society for Clinical Densitometry (ISCD). Vertebral fractures between thoracic spine T
resultsThe study radiologists identified 295(9.2%) patients with grade 2 or 3 fractured vertebrae, total 444 vertebrae on 3216 chest radiographs. The prevalence of vertebral fracture was 2.4% in women aged 50-59 yrs., 8.9% in women aged 60-69 yrs., and 21.9% in women aged≥70 yrs. There were 213 patients with a single vertebral fracture, 49 patients with two vertebral fractures and 33 patients with ≥ three vertebral fractures. Fractured vertebrae were identified with greater frequency in thoracic spine T
conclusionsVertebral fracture is common on chest radiographs but it is often ignored by radiologists. Genant's semiquantitative assessment is a simple and effective method for detecting vertebral fracture. Because osteoporotic vertebral fracture increases the risk of new fractures, radiologists have an important role in accurately diagnosing vertebral fractures.
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