What is the primary consideration when performing a vertebral fracture assessment?

The primary consideration when performing a vertebral fracture assessment is to assess bone mineral density (BMD) along with any existing fractures. This dual focus is crucial because understanding the patient's BMD provides insights into bone strength and the risk of future fractures. Since vertebral fractures can lead to serious complications, such as decreased mobility and increased morbidity, it is essential to evaluate both the density of the bone and the presence of fractures to develop an appropriate management plan.

Additionally, assessing BMD and fractures helps clinicians determine whether the patient may be at risk for osteoporosis or other related conditions, guiding treatment decisions effectively. This comprehensive approach combines both diagnostic criteria: identifying current fractures and measuring the bone's structural integrity, which is vital for a thorough evaluation of the patient's skeletal health.