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Specific Findings

Vertebral Fracture: Sensitivity and Specificity

Introduction: as a serious cause of back pain. See also Spinal Tumor as another serious cause. Red Flags are supposed to help the clinician distinguish serious from non-serious (strain and/or disc bulge) causes of back pain.

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Tags: Musculoskeletal Tag this Diagnosis.

Prevalence

Population / CalculatorPrevalence Comments / Study / Link
Primary care for acute low back pain 0.9% Arthritis Rheum. 2009 Oct;60(10):3072-80. PMID: 19790051
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The sensitivity and specificity of findings for Vertebral Fracture are listed below. See the left navigation bar to change the display.

Specific Findings

Finding SensitivitySpecificity Comments, Study
Clinical diagnosis Edit 50%100%

Study: Arthritis Rheum. 2009 Oct;60(10):3072-80. PMID: 19790051

History of Corticosteroid Use Edit 25%100%

"prolonged use"

Study: Arthritis Rheum. 2009 Oct;60(10):3072-80. PMID: 19790051

Trauma Edit 25%98%

major trauma in adults or minor in elderly

Study: Arthritis Rheum. 2009 Oct;60(10):3072-80. PMID: 19790051

Sensory Level Edit No accuracy specified.

i.e. on the trunk

Study: Arthritis Rheum. 2009 Oct;60(10):3072-80. PMID: 19790051

Red Flags Edit 63%96%

for 2/4 criteria:

  • Age>70
  • Female
  • Sig Trauma
  • Prolonged steroid use
  • Sens/spec for 1/4 was 88%/50%; for 3/4 was 38%/100%

    Study: Arthritis Rheum. 2009 Oct;60(10):3072-80. PMID: 19790051

    Age Edit 50%96%

    age > 70

    Study: Arthritis Rheum. 2009 Oct;60(10):3072-80. PMID: 19790051