Uso do frax combinado ao tbs na avaliação do risco de fratura em pacientes com osteoporose

ABSTRACT: Osteoporosis is a health problem worldwide, the result of physiological aging itself or other factors that end up generating loss of bone mass. Osteoporotic fractures are an important cause of morbidity and mortality, especially in the elderly population. The gold standard in assessing fracture risk is bone mineral density (BMD), however, most fragility fractures occur in patients with osteopenia or bone mineral density in the normal range. Thus, several methods have been proposed to cover situations where BMD is not effective in predicting fracture risk. The FRAX is well validated throughout the world and has been suitable for numerous situations, however, it has amounts of some of the limitations. TBS is a recent development methodology, but with encouraging results. Several other methods are described, but not as easy to apply. Recent studies have focused on the combined use of fracture risk assessment methods. Since each method has its own limitations, these can be compensated by using another method as a complementary strategy. Thus, this work aims to analyze the current literature, in order to describe how the combined use of the FRAX and TBS methodologies is useful in the evaluation of the risk of fractures in patients with osteoporosis.