In order to assess and understand your patient’s bone health, it is important to measure their BMD and document their fracture risk. We advocate diagnosing the presence of SLOP based on the following DXA criteria (Table 2).

Table 2: Definition of Sublesional Osteoporosis (SLOP)

We recommend documenting your patients fracture risk by completing the risk factor profile check-list (Craven et al. 2008, Craven et al. 2009). We propose that the presence of ≥3 risk factors implies a moderate fracture risk, while ≥5 risk factors implies a high fracture risk (Table 3).

Table 3: Risk Factors for Lower Extremity Low-trauma Fracture After SCI