• Daniel López Zúñiga, Antonio Jesús Láinez-Ramos-Bossini, and Ruiz SantiagoFernandoFDepartment of Radiology, "Virgen de las Nieves" University Hospital, Granada, Spain; Department of Radiology and Physical Medicine, University of Granada, Granada, Spain. Electronic address: ferusan12@gmail.com..
• Department of Radiology, "Virgen de las Nieves" University Hospital, Granada, Spain.
• Med Clin (Barc). 2022 Feb 11; 158 (3): 125-132.

AbstractThe radiological diagnosis of osteoporotic vertebral fractures (OVFs) is of major importance considering its therapeutic and prognostic implications. Both radiologists and clinicians have the opportunity to diagnose OVFs in daily clinical practice due to the widespread use of spine and chest radiography. However, several studies have reported an under-diagnosis of OVFs, particularly by a lack of consensus on the diagnostic criteria. Therefore, up-to-date knowledge of the most relevant approaches for the diagnosis of OVFs is necessary for many physicians. This article aims to review the most commonly used classification systems in the diagnosis of OVFs based on conventional radiography. We discuss their rationale, advantages and limitations, as well as their utility according to the context. This review will provide a concise yet useful understanding of the typology of OVFs, their clinical significance and prognosis. Finally, we include anatomical variations that can be confused with OVFs by non-experts.Copyright © 2021 Elsevier España, S.L.U. All rights reserved.

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