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. 2009 Oct 12;25(3):520–526. doi: 10.1359/jbmr.091007

Table 3.

Prevalence of Fracture Versus BMD Z-Score

Distal femur

Region 1 Region 2 Region 3 Lumbar spine




Pentile group Z-score % fractured Z-score % fractured Z-score % fractured Z-score % fractured
1 > −1.8 13% > −1.7 14% > −1.4 11% > −1.0 17%
(Highest Z-scores) 16 of 124 17 of 125 14 of 124 8 of 47
2 −1.8 to −3.2 23% −1.7 to −3.0 21% −1.4 to −2.5 24% −1.0 to −1.9 26%
29 of 124 26 of 124 30 of 123 12 of 46
3 −3.2 to −4.3 33% −3.0 to −4.5 32% −2.5 to −3.5 22% −1.9 to −2.6 20%
40 of 123 39 of 123 27 of 123 9 of 45
4 −4.3 to −5.8 37% −4.5 to −6.5 31% −3.5 to −4.8 37% −2.6 to −3.5 39%
46 of 124 38 of 124 45 of 123 18 of 46
5 < −5.8 30% < −6.5 39% < −4.8 41% < −3.5 44%
(Lowest Z-scores) 36 of 122 48 of 123 50 of 122 20 of 45