Osteoporosis--comparative study between quantitative ultrasound of calcaneus and DXA.

INTRODUCTION Osteoporosis is bone disease characterized by reduced bone mass and reduction of bone tissue. Main complications of osteoporosis and major cause of morbidity and mortality in elderly population are fractures. Early diagnosis and detection of osteoporosis can prevent complications of osteoporosis in terms of fractures. OBJECTIVES Diagnostic assessment of osteoporosis is mostly being done threw two commonly used methods: ultrasound of calcaneus and osteodensitometry (DXA). The results were compared through a prospective study involving two groups of patients with osteoporosis. PATIENTS AND METHODS The study included 100 female patients with average age 54. In I phase every patient had some protocol. That protocol included: age, body, mass index (BMI), employment, marrital status, risk factors (smoking, coffee, physical activity), endocrine causes of osteoporosis and osteoporotic fractures. ln II phase for every patient we were using two methods in diagnostics of osteoporosis: ultrasound of calcaneus and DXA. In both methods, we analyzed T score and Z score. RESULTS 21% patients had 21,12 BMI (low BMI), 58% patients were in menopauses, triad of risk factors (smoking, consumption of coffee, low physical activity) had 32%, 28% of patients had osteoporotic fractures. Quality of life patients with osteoporosis was weak. T score is main score for diagnostics. Results of T score with UZ and DXA had statisticly significant differents. CONCLUSION T score (UZ) and maximum T score (DXA) (lumbal spine and hip) has statisticly similar value with potential possibility to predict osteoporosis fractures.