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Review
. 2023 Oct;82(8):672-677.
doi: 10.1007/s00393-023-01407-5. Epub 2023 Aug 30.

[Trabecular bone score in rheumatology : Are there benefits in comparison to bone densitometry alone?]

[Article in German]
Zhivana Boyadzhieva  1 , Andriko Palmowski  2   3 , Frank Buttgereit  2 , Paula Hoff  2   4
Affiliations
Review

[Trabecular bone score in rheumatology : Are there benefits in comparison to bone densitometry alone?]

[Article in German]
Zhivana Boyadzhieva et al. Z Rheumatol. 2023 Oct.

Abstract
in English, German

Patients with inflammatory rheumatic diseases have an increased risk of fractures due to the inflammatory potential of the disease and also because of the treatment with glucocorticoids that is often necessary. According to the current guidelines of the Governing Body on Osteology (DVO), the fracture risk can be assessed using dual energy X‑ray absorptiometry and can also be supplemented by measuring the trabecular bone score (TBS). The assessment of the TBS offers additional advantages, for example in glucocorticoid-induced osteoporosis and in patients with osteoproliferative changes of the spine (spondylarthritis) and thus optimizes the fracture risk assessment in the rheumatological patient population.

Patient*innen mit entzündlich rheumatischen Erkrankungen weisen aufgrund des Entzündungspotenzials ihrer Erkrankung, aber auch wegen der oft notwendigen Glukokortikoidbehandlung ein erhöhtes Frakturrisiko auf. Die Abschätzung des Frakturrisikos erfolgt nach aktueller DVO(Dachverband Osteologie)-Leitlinie auch mittels „dual-energy X‑ray absorptiometry“, diese kann auch durch die Bestimmung des Trabecular Bone Score (TBS) ergänzt werden. Die Erhebung von TBS bringt zusätzliche Vorteile z. B. bei der Glukokortikoid-induzierten Osteoporose, aber auch bei Patient*innen mit osteoproliferativen Veränderungen an der Wirbelsäule (Spondylarthritiden) und optimiert somit im rheumatologischen Patientengut die Frakturrisikoabschätzung.

Keywords: Bone; Bone density; Densitometry, bone; Dual-energy X‑ray absorptiometry; Fractures.

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References

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