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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is T-score Of -2.7 For Spine And -1.7 For Spine Normal?

If my t-score for my spine is -2.7, and -1.7 for my hip, how likely is it that I will suffer a bone fracture? I know it is significantly higher than for a normal young healthy person, but how likely is that? I will do whatever I can to stay in good shape, but am not inclined to take prolia. I am 71, have never broken a bone.
Wed, 12 Feb 2020
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General & Family Physician,  's  Response
Hi,

It is not a normal score for your spine and hip. Based on the given results of DEXA scan your spine has a very low bone mineral density suggestive of osteoporosis. Whereas your hip has low bone density (osteopenia) which if not prevented it may lead on to osteoporosis. A ‘T-score’ less than -2.5 can put your spine to a high risk for fracture.

Postmenopausal women are susceptible to osteoporosis since osteoporosis is closely related to estrogen deficiency. Since you do not wish to take Prolia injection, I would recommend a selective estrogen receptor modulator like Raloxifene which is found to be very useful in treating post menopausal osteoporosis with less side effects.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali, General & Family Physician
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Is T-score Of -2.7 For Spine And -1.7 For Spine Normal?

Hi, It is not a normal score for your spine and hip. Based on the given results of DEXA scan your spine has a very low bone mineral density suggestive of osteoporosis. Whereas your hip has low bone density (osteopenia) which if not prevented it may lead on to osteoporosis. A ‘T-score’ less than -2.5 can put your spine to a high risk for fracture. Postmenopausal women are susceptible to osteoporosis since osteoporosis is closely related to estrogen deficiency. Since you do not wish to take Prolia injection, I would recommend a selective estrogen receptor modulator like Raloxifene which is found to be very useful in treating post menopausal osteoporosis with less side effects. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician