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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.

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Finding SensitivitySpecificity Comments, Study
Age Edit 50%96%

age > 70

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

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

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

    Sensory Level Edit No accuracy specified.

    i.e. on the trunk

    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