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Hello, I joined today to get help in deciding what medication to begin
Osteoporosis & Bone Health | Last Active: Aug 11 10:11pm | Replies (70)Comment receiving replies
His doctor will go over this. I am not trained.
It looks like the T11 fracture is mild and stable.
L1 fracture is 25%, not bad in my experience.
L3 looks more complicated (see definitions if you follow links below).
Posture is still good so curvature of spine is not apparent- that's good!
https://www.healthline.com/health/schmorl-nodes#fa-qs
https://www.spineinfo.com/conditions/anterolisthesis-definition-causes-symptoms-prevalence-diagnosis-and-treatments/
The imaging has certainly found reasons for low back pain I would think. I hope he has a doctor he trusts. Sometimes an orthopedist who does not do surgery can be helpful (again in my experience).
He has osteopenia so why is he fracturing? That seems to be a big question that may guide treatment.
Replies to "His doctor will go over this. I am not trained. It looks like the T11 fracture..."
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@windyshores
Thank you for your reply. I appreciate your time to review and give your thoughts on his results. I've got an email to his endocrinologist and waiting to hear back. He also has an appointment with a physical therapist on Friday (virtual appt) to discuss test results and to determine if he's knowledgeable enough about osteoporosis to make an in-person appointment. I asked about an orthopedic surgeon and our GP said no, but I didn't ask for an orthopedist who doesn't do surgery. I can try that.
That's good to hear your thoughts that the L1 fracture at 25% might not be bad - it had me worried as I believe it's new. Thank you for the links. I will check them out.
I thought it was interesting that it noted osteopenia when he's been diagnosed with osteoporosis (lumbar spine at -3.3.) I've included his scores from the bone scan below.
Bone scan results:
Tallest height patient has ever been (patient reported): 71 in
Current height: 69.5 in
Risk factors entering to the FRAX in this patient:
Glucocorticoids (Chronic)
10 YEAR FRACTURE PROBABILITY
Based on FRAX (R) TOOL- https://www.sheffield.ac.uk/FRAX/tool.aspx?country=9
Major osteoporotic fracture: 11.6%
Hip fracture: 4.2%
LUMBAR SPINE
Bone Mineral Density: 0.81 g/cm2
LUMBAR SPINE T-SCORE: -3.30
Z-score: -2.80
LEFT TOTAL HIP
Bone Mineral Density: 0.79 g/cm2
LEFT TOTAL HIP T-SCORE: -2.10
Z-score: -1.30
RIGHT TOTAL HIP
Bone Mineral Density: 0.73 g/cm2
RIGHT TOTAL HIP T-SCORE: -2.60
Z-score: -1.70
LEFT FEMORAL NECK
Bone Mineral Density: 0.87 g/cm2
LEFT FEMORAL NECK T-SCORE: -1.50
Z-score: -0.20
RIGHT FEMORAL NECK
Bone Mineral Density: 0.83 g/cm2
RIGHT FEMORAL NECK T-SCORE: -1.80
Z-score: -0.50