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We test
for osteoporosis
with
a form of bone densitometry called dual-energy
X-ray absorptiometry (DXA
or DEXA).
This test uses X-rays to estimate
bone strength. We look at both the spine and the hip, since the best
predictor of spine fractures is the bone density in the spine and the
best predictor of hip fractures is the bone density in the hip. Spine
and hip fractures are important because they are the most serious
fractures sustained by people with osteoporosis. In some cases, we
evaluate the forearm as well, particularly when arthritis of the spine
prevents getting an accurate measurement of the spine density.
As part of the bone density assessment, we also take pictures of the
upper and lower back to look for spinal compression fractures that
indicate a more significant form of osteoporosis. These pictures can
show degeneration or improper alignment of the spine as well.
Here are two links to help you estimate your risk of a fracture based
on various risk factors:
World
Health Organization Fracture Risk Assessment Tool
University of Washington Fracture Risk Calculator
(this one requires knowledge of your DXA bone density value)
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Weinstein Imaging Associates
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