Are bilateral decubitus views necessary in assessing for vertebral compression fractures using DXA vertebral fracture assessment?

ConclusionRight and left side lateral decubitus views have excellent agreement with radiography and similar diagnostic accuracy in the detection of VFs. Thus, the current practice of performing only one side is valid. With scoliosis, bilateral decubitus views can improve the specificity of detecting VF; however, this would increase radiation dose.
Source: Osteoporosis International - Category: Orthopaedics Source Type: research