Bone Mineral Density Measurements and Fracture Prediction in the Very Elderly.

Jeff Borenstein, Jelena Maletkovic, Jarod DuVall, Maryam Sharifi

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In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jeff BorensteinDivision of General Internal Medicine and Health Services Research, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.

Jelena MaletkovicDivision of Endocrinology, Diabetes, and Metabolism, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.

Jarod DuVallDivision of General Internal Medicine and Health Services Research, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.

Maryam SharifiDivision of Endocrinology, Diabetes, and Metabolism, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone density decreases with age, increasing the risk of fragility fractures. Dual-energy X-ray absorptiometry (DEXA) scanning may be used to measure bone density and estimate this risk. Degenerative changes in the spine may decrease the accuracy of DEXA results. We present the clinical course of a 92-year-old woman with a diagnosis of osteopenia of the left femoral neck and a risk for fragility fracture that was previously below the threshold for treatment, who underwent routine follow-up bone density screening. The DEXA scan showed an increase in bone density at the lumbar spine. Within a week of this study, she experienced severe back pain rated eight to nine out of 10 without a precipitating event. The following day, a lumbar X-ray showed disk space narrowing at multiple levels, spondylolisthesis at L4/5, diffuse spondylosis, and a new compression fracture at T12. This case illustrates the challenges of preventing and treating low bone density in the very elderly.

Indexed as

bone mineral densitydual-energy x-ray absorptiometry (dexa)fragility fractureosteoporosis treatmentvery elderly

Identifiers

PMID41431511

DOI10.7759/cureus.97458

PMCPMC12718630

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