Broken collarbone
in Health ·
Nicholas Myers said:Hello,
Densitometry T-scores can vary between the lumbar region and the hip region. In this instance, there isn't a significant discrepancy because, according to the scan, both the lumbar and hip regions fall into the same category: osteopenia (a T-score between -1.0 and -2.5). However, even if the T-score is higher than -2.5 (meaning less negative), we can still discuss osteoporosis if an atraumatic spinal fracture occurs. There are many reasons why T-scores fluctuate between the hips and the lumbar spine, but such variation is quite common, provided the differences between regions don't jump across entirely different diagnostic categories (for example, a normal T-score in one area and a pathological one in another).
Hi, my hip T-score is -0.5, which is normal, but my lumbar T-score is -1.2, with my L1 score specifically sitting at -2.3. Since I previously had a fracture at the T8 level—which I first felt as a mild ache while driving, though it eventually worsened—and considering I had some rib pain in that same area about five months prior when moving a bed (though it wasn't the spine itself that hurt), I'm wondering if it's possible to have osteoporosis localized just in the thoracic region, where the densitometry doesn't provide a clear picture.
Based on blood work, my Vitamin D is 88, calcium is slightly elevated at 2.6, and my tumor markers, PSA, and PTH are all normal, though my wife's sexual hormone levels are elevated.