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Curr Osteoporos Rep (2017) 15:521–531 DOI 10.1007/s11914-017-0410-z THERAPEUTICS AND MEDICAL MANAGEMENT (S JAN DE BEUR AND B CLARKE, SECTION EDITORS) The Trabecular Bone Score (TBS) Complements DXA and the FRAX as a Fracture Risk Assessment Tool in Routine Clinical Practice 1 2 1,3 Didier Hans & Emőke Šteňová & Olivier Lamy Published online: 7 October 2017 Springer Science+Business Media, LLC 2017 Abstract disease, and patients being treated with anti-aromatase and Purpose of the review There is an increasing body of evidence primary hyperparathyroidism, conditions wherein BMD read- that the trabecular bone score (TBS), a surrogate of bone ings are often misleading. microarchitecture extracted from spine DXA, could play an Summary TBS enhances performance of the FRAX tool, important role in the management of patients with osteoporo- where its greatest utility appears to lie in its ability to accu- sis or at risk of fracture. The current paper reviews this pub- rately classify those patients whose BMD level lies close to lished body of scientific literature on TBS and answers the the intervention threshold, aiding in decisions on whether most relevant clinical questions. treatment is warranted or not. Furthermore, TBS has also par- Recent findings TBS has repeatedly been proven
Current Osteoporosis Reports – Springer Journals
Published: Oct 7, 2017
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