Table 2.

Characteristics of patients who had DXA scan with lumbar spine Z-score discrepancy and vertebral fractures identified by either VFA or lumbar spine radiograph

Patient	Age (years)	Highest lumbar spine (DXA)	BMD Z-scores				VFA	X-ray	Fracture by X-ray	Type	Referral diagnoses
			L1	L2	L3	L4
1	12	L1	−2.0	−3.6	−3.4	−2.9	Not done	Yes	L1	Mild (grade 1) wedge fracture of L1	Post heart transplant, growth hormone deficiency
2	17	L3	−2.8	−1.7	−0.5	−2.8	Not done	Yes	L1, L2	Mild (grade 1) wedge fracture of L1 and L2	Post heart transplant, chronic glucocorticoid use, delayed puberty

DXA, dual X-ray absorptiometry; VFA, vertebral fracture assessment.