Ehresman J, Schilling A, Yang X, et al. - A retrospective single-center cohort was conducted to analyze if vertebral bone quality (VBQ) score is predictive of fragility fractures in a population with pre-existing low bone density and at high-risk for fracture. Researchers enrolled individuals with an x-ray absorptiometry and MRI scans at the time of consultation and ≥ 2-year follow-up. The outcomes of this research illustrate that the novel, MRI-derived VBQ score is both an independent predictor of fragility fracture in at-risk patients and a superior predictor of fracture risk than DXA-measured BMD. Given the frequency with which MRIs are obtained by patients undergoing spine surgery consultation, in order to optimize the management of these patients, they believe the VBQ score could be a valuable tool for calculating bone quality.