Kang KY, et al. - A case-control study is conducted to compare the trabecular bone score (TBS) among patients with axial spondyloarthritis (axSpA) and matched normal controls and recognize risk factors related to a low TBS. According to the outcome obtained, TBS assessments uncovered poor bone quality in patients with axSpA compared with the matched controls. In axSpA, systemic inflammatory markers were negatively correlated with TBS and spinal radiographic progression and inflammatory markers were independently correlated with low TBS. TBS may, therefore, be a valuable clinical tool to recognize the risk of osteoporosis in patients with axSpA.