More on Bone Mineral Screening for Osteoporosis

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To the Editor: The Sounding Board article on bone mineral screening (Jan. 22 issue)1 and the subsequent correspondence (July 30 issue)2 3 4 5 tend to equate osteoporosis with spinal osteoporosis and to assume that screening for osteoporosis therefore requires vertebral densitometry. The authors also imply that there is little, if any, difference in bone density between patients who have peripheral fractures and those who do not and that the estimation of risk factors for osteoporosis can be a substitute for bone densitometry.The vertebral compression syndrome (spinal osteoporosis) has attracted much more attention than the other fractures associated with osteoporosis. The reason . . .

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