Exceptionally high lumbar spine DXA T-score in a nonagenarian: an artefact of degenerative spinal changes and vascular calcification

Key Points

• The assessment shows a high lumbar spine DXA T-score, which may be misleading due to underlying conditions.
• Notably, the T-score reached a value of 4.5, prompting concerns about typical osteoporosis assessments.
• This analysis focuses on degenerative changes and vascular calcification observed via diagnostic imaging techniques.
• Implications indicate the need for careful interpretation of DXA results, particularly in aged patients with spine conditions.