@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
@isabelle4 I would definitely go with the DEXA. I have had imaging that said "osteopenia" which I know for a fact is wrong!
25% is borderline between mild and moderate:
Mild: Up to 20-25% vertebral height loss. These are often related to osteoporosis and may not cause significant symptoms.
Moderate: 25-40% vertebral height loss.
I hope he gets good help. I have 7 spinal fractures, many moderate, scoliosis, degenerative changes, spinal cord damage, stenosis but am doing pretty well. My main comment is that healing takes time but it can happen! I am no longer afraid to shake hands unless it's a big person 🙂