Which of the following statements about vertebral fracture is most accurate?
Most vertebral fractures often occur in the presence of specific trauma
Vertebral fractures are always symptomatic
Most vertebral fractures are diagnosed with radiography
Diagnosing a vertebral fracture is easier than diagnosing a peripheral fracture
The presence of vertebral deformities does not affect the risk of future fractures
Which of the following statements is correct?
Using Genant’s semiquantitative analysis, the visual grading of the type of vertebral fracture and its severity grades from 1 (mild fracture) to 4 (severe fracture)
A fracture classified as grade 3 in the Genant’s semiquantitative analysis corresponds to a reduction of more than 60% reduction in vertebral height
In the normal vertebral morphology, the shape of the lumbar vertebra is slightly ‘wedged’
Visual semiquantitative assessment (SQ) is the preferred method for vertebral fracture diagnosis
All of them are correct
Vertebral Fracture Assessment (VFA)?
Is more expensive than spinal X-rays
High radiation exposure
Is not indicated in patients on chronic glucocorticoid treatment (≥3 months, ≥5 mg prednisone equivalent per day)
Should be considered when BMD T-score ≤ -2.5
Should be considered when there is a height loss of 1 cm (0.4 inches)
Which of the following imaging techniques is considered the "gold standard" for identifying vertebral fractures?
Magnetic Resonance Imaging (MRI)
Vertebral Fracture Assessment (VFA)
Computed Tomography (CT)
Conventional radiography (X-ray)
Single-Photon Emission Computed Tomography (SPECT)
What percentage of vertebral fractures are clinically silent, i.e. they occur without specific trauma or symptoms?
10-20%
30-40%
50-60%
65-75%
80-90%
Which of the following conditions is NOT a primary cause of vertebral fractures?
Osteoporosis
Trauma
Neoplastic diseases (e.g., cancer metastasis)
Osteoarthritis
Hematologic diseases (e.g., multiple myeloma)