Fragility fracture prediction in the Mediterranean region: Evaluating the performance of trabecular bone score in Lebanese postmenopausal women.

Abstract

PurposeThis article aims at studying the correlation between Trabecular Bone Score and fragility fracture risk in a population of Lebanese postmenopausal women aged 65 years and older.MethodsA retrospective cohort study was done on 114 postmenopausal Lebanese women, who underwent bone densitometry (DEXA scan) at Bellevue Medical Center, between the years 2018 and 2020. These women were then followed for the presence or absence of fractures during the 5 years following their scan results. A bivariate and multivariate logistic regression was computed to analyze the results.ResultsOur logistic regression showed that neither TBS nor BMD were significant predictors of fragility fracture occurrence during the next five year follow up. In the unadjusted model, TBS was not associated with fracture occurrence (OR=0.14; 95% CI: 0.003-5.69; p=0.296). Even after adjustment, this association remained non-significant (aOR=0.98; 95% CI: 0.01-67.55; p=0.992).ConclusionThe Trabecular Bone Score failed to serve as a predictability tool for fragility fractures in elderly postmenopausal Lebanese women.