Q-CT gives more precise estimation of cancellous bone mineral density than DXA. With the reliance on DXA for spinal BMD estimation being questionable, new standards have to be established for spinal osteoporosis evaluation. The common observation that a considerable proportion of fragility fractures are seen in non-osteoporotics can be just the tip of the iceberg due to undue dependence on DXA. Q-CT should replace DXA as the gold standard for the evaluation of spinal osteoporosis.
No funds were received in support of this work.
No relevant financial activities outside the submitted work
The authors wish to thank Mrs Sonali Pandolskar for her valuable technical support on the statistics and data analysis related to this project.
Spine. 2022;47(6):E258-E264. © 2022 Lippincott Williams & Wilkins