Utility of magnetic resonance imaging–based vertebral bone quality score in recognizing patients at risk for secondary fracture after vertebroplasty

The VBQ score was not significantly affected by VCF. A high score (≥ 3.0) was common in patients who had undergone vertebroplasty and sustained a secondary fracture. Most fractures occurred ≥ 60 days from vertebroplasty, suggesting that initiation of anti-osteoporosis therapies after such a procedure may be useful. The VBQ score may be helpful in identifying high-risk patients who may need additional evaluation and anti-osteoporosis therapy.