To the Editor: In their study of long-term risk of incident vertebral fractures, Dr Cauley and colleagues1 concluded that older women with a prevalent vertebral fracture had a substantially increased absolute risk of an incident fracture, particularly if they had osteoporosis diagnosed by bone mineral density assessment.1 In this study, it appears that both symptomatic and asymptomatic women with a prevalent vertebral fracture at baseline were combined.
Taguchi A. Prevalent Vertebral Fracture and the Risk of Incident Vertebral Fracture. JAMA. 2008;299(14):1666-1667. doi:10.1001/jama.299.14.1666-a