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Absolutely, the higher the negative number in your T-score, the greater a chance of fracture in that region (hip or spine). Specifically, scores between -1 and -2.5 are considered osteopenia, and those of -2.5 or higher are osteoporosis, which is even greater risk. A new algorithm, which should be used with your doctor's advice, can help you calculate the percent risk of a fracture over the coming years, by incorporating your bone density and other factors such as your corticosteroid regimen. Take a look at www.shef.ac.uk/FRAX