TY - JOUR
T1 - Bone Mineral Density Testing in Spinal Cord Injury
T2 - 2019 ISCD Official Position
AU - Morse, Leslie R.
AU - Biering-Soerensen, Fin
AU - Carbone, Laura D.
AU - Cervinka, Tomas
AU - Cirnigliaro, Christopher M.
AU - Johnston, Therese E.
AU - Liu, Nan
AU - Troy, Karen L.
AU - Weaver, Frances M.
AU - Shuhart, Christopher
AU - Craven, Beverley C.
N1 - Funding Information:
We would like to acknowledge the Spinal Cord Injury Research Evidence (scireproject.com) team, Vancouver, Canada and Maureen Pakosh, Librarian from University Health Network, Toronto, Canada for their assistance with the literature search and article identification. This work was funded in part by the US Department of Defense (DOD) Grant #SC150092 (Carbone). The views expressed in this article are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs or the United States Government.
Funding Information:
We would like to acknowledge the Spinal Cord Injury Research Evidence ( scireproject.com ) team, Vancouver, Canada and Maureen Pakosh, Librarian from University Health Network, Toronto, Canada for their assistance with the literature search and article identification. This work was funded in part by the US Department of Defense (DOD) Grant #SC150092 (Carbone). The views expressed in this article are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs or the United States Government.
Publisher Copyright:
© 2019 The International Society for Clinical Densitometry
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Spinal cord injury (SCI) causes rapid osteoporosis that is most severe below the level of injury. More than half of those with motor complete SCI will experience an osteoporotic fracture at some point following their injury, with most fractures occurring at the distal femur and proximal tibia. These fractures have devastating consequences, including delayed union or nonunion, cellulitis, skin breakdown, lower extremity amputation, and premature death. Maintaining skeletal integrity and preventing fractures is imperative following SCI to fully benefit from future advances in paralysis cure research and robotic-exoskeletons, brain computer interfaces and other evolving technologies. Clinical care has been previously limited by the lack of consensus derived guidelines or standards regarding dual-energy X-ray absorptiometry-based diagnosis of osteoporosis, fracture risk prediction, or monitoring response to therapies. The International Society of Clinical Densitometry convened a task force to establish Official Positions for bone density assessment by dual-energy X-ray absorptiometry in individuals with SCI of traumatic or nontraumatic etiology. This task force conducted a series of systematic reviews to guide the development of evidence-based position statements that were reviewed by an expert panel at the 2019 Position Development Conference in Kuala Lumpur, Malaysia. The resulting the International Society of Clinical Densitometry Official Positions are intended to inform clinical care and guide the diagnosis of osteoporosis as well as fracture risk management of osteoporosis following SCI.
AB - Spinal cord injury (SCI) causes rapid osteoporosis that is most severe below the level of injury. More than half of those with motor complete SCI will experience an osteoporotic fracture at some point following their injury, with most fractures occurring at the distal femur and proximal tibia. These fractures have devastating consequences, including delayed union or nonunion, cellulitis, skin breakdown, lower extremity amputation, and premature death. Maintaining skeletal integrity and preventing fractures is imperative following SCI to fully benefit from future advances in paralysis cure research and robotic-exoskeletons, brain computer interfaces and other evolving technologies. Clinical care has been previously limited by the lack of consensus derived guidelines or standards regarding dual-energy X-ray absorptiometry-based diagnosis of osteoporosis, fracture risk prediction, or monitoring response to therapies. The International Society of Clinical Densitometry convened a task force to establish Official Positions for bone density assessment by dual-energy X-ray absorptiometry in individuals with SCI of traumatic or nontraumatic etiology. This task force conducted a series of systematic reviews to guide the development of evidence-based position statements that were reviewed by an expert panel at the 2019 Position Development Conference in Kuala Lumpur, Malaysia. The resulting the International Society of Clinical Densitometry Official Positions are intended to inform clinical care and guide the diagnosis of osteoporosis as well as fracture risk management of osteoporosis following SCI.
KW - Dual-energy X-ray absorptiometry
KW - guidelines
KW - official positions
KW - spinal cord injury
UR - http://www.scopus.com/inward/record.url?scp=85071861208&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071861208&partnerID=8YFLogxK
U2 - 10.1016/j.jocd.2019.07.012
DO - 10.1016/j.jocd.2019.07.012
M3 - Article
C2 - 31501005
AN - SCOPUS:85071861208
SN - 1094-6950
VL - 22
SP - 554
EP - 566
JO - Journal of Clinical Densitometry
JF - Journal of Clinical Densitometry
IS - 4
ER -