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The Problem with the Bone Density Test: DXA Scans, Bone Density and Fracture Risk

By Neil Gonter, MD, Health Pro Wednesday, November 14, 2007
Currently the best available evaluation of one's bone density is performed with a DXA scan. This is a radiological study that uses minimal radiation in evaluating the hip and the spine. This machine will give you the quantity of bone; however it does not give an evaluation of the patient's true bon...
7/10/12 10:19am

Hi, this information is dated 2007. You say "We hope to have a better test available within the next few years". Is there an update on that? Personally I'm also very interested in a recommendation regarding what test can better estimate true bone density in people who has Osteoporosis AND OsteoArthritis of the spine. All I can find on the Internet is information that Dexa results will be false high and are not to be trusted when you also have arthritis - no info about what could be a better test to do. 

Pam Flores, Health Guide
1/10/13 12:01pm

Hi Leling, Dr. Gonter is no longer here.  I'm not aware of any new test available yet.  It's true that arthritis will make your dxa higher than it should be making your bones look denser.  Fractures, scoliosis, hardware etc will also artificially raise your bmd scores.  I have hardware in my spine and no longer have a dxa reading there. I do have my hip and wrist scanned but not my spine.  Due to the rods/screws I have in the lumbar area, we couldn't trust the reading in that location.

 

Sorry I missed this post!  We do have Dr. Christina Lasich here that might be able to answer your question.  If you post on one of her Shareposts, I'm sure she'll answer you.  Good luck.

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By Neil Gonter, MD, Health Pro— Last Modified: 01/10/13, First Published: 11/14/07