Connect← Return to Who has had a discordance on their DEXA with the T scores.
Discussion
Who has had a discordance on their DEXA with the T scores.
Osteoporosis & Bone Health | Last Active: Oct 1 10:43am | Replies (8)Comment receiving replies
kristie, did your total hip (TH) T-score improve to 1.0? LS -3 vs TH 1 would be major discordance. Do you have TBS numbers?
I had minor discordance at the time of diagnosis. From what I’ve read, differences between spine and hip scores are common - seen in roughly 40–50% of postmenopausal women. Early after menopause, the trabecular bone of the spine has higher turnover and can lose density faster than the hip, so the spine score is often the lower of the two. With aging, degenerative changes in the spine (osteophytes, endplate sclerosis, and sometimes aortic calcification) can falsely elevate the spine reading, making it appear better than it really is - and better than the hip. This effect increases with age - present in roughly 1/3 to 1/2 of 70-year-olds, and affects the majority of the lower spine by the 80s.
Replies to "kristie, did your total hip (TH) T-score improve to 1.0? LS -3 vs TH 1 would..."
Connect
Unfortunately it doesn’t show that on my DEXA report.
I was watching a podcast with Dr. Doug Lucas talking to Dr. Tony Keavery
on YouTube. He is a bone scientist. It was very interesting what he had to
say about this. He says that the Spine DEXA is unreliable. Many conditions
can be skew the score such as degenerative changes.
On Wed, Sep 30, 2026 at 11:56 AM Mayo Clinic Connect < nf+07394b08+147318142@n1.hubapplication.com> wrote:
> ## reply above this line ##
>
>
> Mayo Clinic Connect
> *Comment* posted by @mayblin
>
> on discussion "Who has had a discordance on their DEXA with the T scores. ".
>
> kristie, did your total hip (TH) T-score improve to 1.0? LS -3 vs TH 1
> would be major discordance. Do you have TBS numbers?
>
> I had minor discordance at the time of diagnosis. From what I’ve read,
> differences between spine and hip scores are common - seen in roughly
> 40–50% of postmenopausal women. Early after menopause, the trabecular bone
> of the spine has higher turnover and can lose density faster than the hip,
> so the spine score is often the lower of the two. With aging, degenerative
> changes in the spine (osteophytes, endplate sclerosis, and sometimes aortic
> calcification) can falsely elevate the spine reading, making it appear
> better than it really is - and better than the hip. This effect increases
> with age - present in roughly 1/3 to 1/2 of 70-year-olds, and affects the
> majority of the lower spine by the 80s.
> VIEW & REPLY
>
> ------------------------------
> Unsubscribe
>
> from this content and see links to review my email settings.
>