Had evidence of vertebral fracture on prior imaging found that only 46 of the vertebral fractures had been reported by a radiologist at the time the image was taken and even fewer had been acted on by the referring clinician10 in an ageing population the identification of vertebral fractures presents a valuable opportunity. Evaluation as to whether a vertebral fracture is a new finding in a patient already on treatment and whether it is due to other pathology or trauma assessment management and follow up by the fls or osteoporosis service audit of vertebral fracture identification. Identification of vertebral fractures is therefore relevant to the appropriate management of patients with osteoporosis and so at risk of further low trauma insufficiency fractures which are associated with significant reduction in quality of life morbidity and mortality . All of the preventative measures investigations treatment and research into osteoporosis have one primary goal and that is to prevent the occurrence of osteoporotic fracture vertebral fracture is by far and away the most prevalent osteoporotic fracture the significance and diagnosis of vertebral fracture are discussed in this article. Importance of identifying vertebral fracture vf osteoporosis is the most common metabolic bone disease estimated to affect more than 200 million people worldwide osteoporosis is characterized by low bone mass and micro architectural deterioration which leads to bone fragility and consequent increase in fracture risk
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