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Osteoporosis Message Board


Osteoporosis Board Index


I was recently diag. with osteoporosis and I have issues with almost my whole spine! My report says;

BONE MINERAL DENSITY (DXA): LS SPINE AND HIPS
SCANNER: Dual Energy X-ray Absorptiometry (DXA) - LUNAR Original data mailed
under separate cover. Hard Copy available via Hospital Imaging Archive (PACS).
OVERALL STATUS: OSTEOPOROSIS : Lowest Value: Left hip femoral neck T = -2.6.
Major Sites associated with Osteoporosis: 1 of 3: Left hip femoral neck.
Major Sites LIMITED TO Osteopenia: 1 of 3: Right hip.
AGGRESSIVE TREATMENT RECOMMENDATIONS (NOF Criteria): Active management
recommended on the basis of results from both hips.
AP LUMBAR SPINE: Readings from the lumbar spine are suspect because of the
presence of extensive orthopedic hardware extending from L1 through L4. Readings
from the lumbar spine are not utilized in this assessment.
SUSPICION SECONDARY ETIOLOGIES OF BONE LOSS: Lumbar spine may be affected by
periprosthetic osteopenia. Hips are not suspect for secondary etiologies of bone
loss.
COMPARISON (based upon L1-L4 Averaged Values Total Mean Dual Hip Values):
No previous study for comparison.
FRAX SCORE predicts 10 year probability for fracture: Risk of Major
Osteoporotic Fx = 7.6 % Risk of Hip Fx = 2.1 %.
___________________________________________________________________
DEFINITIONS:
"T SCORE" = deviation from young control population.
"Z SCORE" = deviation from age matched population.
WORLD HEALTH ORGANIZATION (WHO): Dx Osteoporosis T = -2.5 sd. Dx osteopenia T =
-1.0 to -2.5 sd.
NATIONAL OSTEOPOROSIS FOUNDATION (NOF): Tx if T = -2.0 sd (or T = -1.5 sd with
significant risk factors).
FRAX (FRACTURE RISK ASSESSMENT) TOOL (WHO): 10 year probability major
osteoporotic or hip fracture.
FRACTURE RISK: Each sd or 10% reduction in bone mass = 3X Hip 2X Spine
increase in fracture risk.
FRACTURE RISK: A 1% decrease in bone mass = 10% increase in fracture risk.
FRACTURE THRESHOLD: Increased risk of fracture if below 0.99 g/cm2 for spine and
0.89 g/cm2 for the hip.
**********************************************************

What is a "Z" score? I see a lot of people talk about it but I don't see one for me in this report. I do know my score is bad -2.6

Now I wonder if having this has anything to do with all my spine problems. I've has surgery on my neck and a horrible one on my back so far and more is needed in my neck and my thoracic. I will not have another surgery unless I can't take the pain anymore. I'm on pain meds so hopefully, that will continue to work. Didn't know until recently that my bones are so weak.

My PCP put me on Alendronate. This med scars me but if it helps strengthen my bones I guess it's worth it?? I don't know.

Can anyone here offer any info on the test above or any advice? Oh yea, what are weight bearing exercises? I walk with a cane & am very limited in what I can do physically. Thank you in advance....





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