Löffler MT, Kallweit M, Niederreiter E, et al. - Routine CT of patients with long-term hospital records were investigated to determine the prevalence of osteoporotic vertebral fractures (VFs) in this population.

• Included were 718 patients (228 women and 490 men; mean age 69.3 ± 10.1 years) aged 45 years and older with a CT scan and prior hospital record of at least 5 years.

• The patients in the study population had mainly cancer staging and angiography CT imaging.

• VFs were identified in nearly 30% of elderly patients with CT imaging and long-term hospital records.

• VFs were mentioned in CT reports of only one-quarter of the patients.

• There appeared a significant correlation of intaking metamizole for ≥ 3 months with a prevalent VF.

• Consequent reporting of VFs in CT, opportunistic bone density measurements, and early involvement of fracture liaison services may aid in improving osteoporosis management.