Abstract
Osteoporosis is clinically defined by the presence of at least one fragility fracture. In patients without a prior history of fragility fractures, a dual-energy X-ray absorptiometry (DXA) scan represents the gold standard for the diagnosis of osteoporosis, based upon the bone mineral density (BMD). Although DXA is the gold standard method to assess the BMD, DXA has some important limitations especially in patients with vertebral fractures or degenerative spinal changes, where a low BMD corresponding to osteopenia does not exclude osteoporosis. The aim of this case report is to highlight that clinicians should not solely rely on the DXA scan. In these patients, additional information about the presence of vertebral fractures should be obtained with radiographs of the spine for the diagnosis of osteoporosis.
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