Identification of Vertebral Fractures in Rheumatoid Arthritis Patients Using Bone Mineral Density and Trabecular Bone Score (TBS)

Abstract

Bone involvement is the main joint complication of rheumatoid arthritis (RA). Patients with RA have a greater risk of osteoporosis and fracture than the general population. The prevalence of osteoporosis in RA is 20% to 30% in the spine and 7-26% in the hip. Clinical studies show that TBS is lower in patients with RA with a fracture compared to those without fracture, regardless of BMD outcomes and major clinical risk factors