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@isabelle7

@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

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Replies to "@windyshores Thank you for your reply. I appreciate your time to review and give your thoughts..."

@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 🙂