DXA Alone Misses Most Fracture Victims

If you screen by DXA alone you fail to identify most of the individuals who will fracture.  Over 80% of fracture patients over age 50 have “osteopenia” or “normal” as their Bone...

Welcome to ISCD 2012

What determines “osteoporosis”?  Is it DXA and BMD?  Perhaps VFA and the lateral spine?  What is the importance of Kyphosis?  When is a collapsed vertebra a fracture?  These are all...

Most Vertebral (Spine) Fractures are “Silent”

The researchers for the New England Journal of Medicine article about DXA counted only those few vertebral (spine) fractures that were recognized as fractures.  Most vertebral fractures, especially in older women...

Why Do I Keep Breaking?

A reader asked “Why do I keep breaking?” If you do have more than one Fragility Fracture, you certainly need to find out why!  Every Fracture that you have increases...

Vertebroplasty or Kyphoplasty = Osteoporosis

If you have a Vertebroplasty or a Kyphoplasty, you have Osteoporosis! Both procedures are done for painful, fresh Vertebral Compression Fractures (crunches of the spine).  If your spine goes crunch...

“Bone Attack”!

You know what a “Heart Attack” is.  It can kill or disable you.  It is a warning to take your heart health seriously. Recently I heard the term “Bone Attack”....

HyperParaThyroidism Part 3

Secondary Hyperparathyroidism is quite common.  I see a new case nearly every week.  Secondary Hyperparathyroidism happens when the parathyroid glands are doing their job. If you do not have enough...

ISCD 3 Natural Degenerative Kyphosis of Age???

When I was in medical school over 40 years ago, we understood that old bones got soft and crumbled.  In the spine that crumbling often took years.  The vertebrae grew...

ISCD 2 It’s All About Fractures and Kyphosis

I was an orthopedic surgeon for 30 years before I started to treat osteoporosis.  I started because most physicians in my area only treated DXA t-scores.  I wanted to treat...

Vertebral Compression Fractures

Vertebral Compression Fractures represent an area of changing understanding of Osteoporosis.  As an orthopaedic surgeon, I understand that a fracture is a fracture whether it occurs all at once or...