What imaging projection is typically used for Vertebral Fracture Assessment (VFA)?

• A. Lateral or PA projection
• B. Superior or inferior projection
• C. Oblique projection
• D. Horizontal projection

Answer: (A)

The imaging projection typically used for Vertebral Fracture Assessment (VFA) is the lateral or PA projection. This choice aligns with standardized protocols for assessing vertebral body integrity and identifying fractures. The lateral projection is particularly valuable as it provides a clear profile view of the spine, allowing for the evaluation of vertebral height, deformities, and other skeletal abnormalities that may indicate fractures.

In addition, the PA projection can help visualize the spine in a way that highlights potential areas of concern, such as changes in vertebral alignment or the presence of bone density loss. By utilizing these projections, practitioners can effectively diagnose vertebral fractures, which is essential for managing osteoporosis and preventing further complications.

Other projection types such as superior or inferior, oblique, and horizontal are not typically used in VFA assessments due to their inability to effectively visualize the vertebrae in a manner that allows for accurate evaluation of fractures. The lateral and PA views are specifically designed to capture the crucial details needed for assessing vertebral integrity, making them the preferred choices in clinical practice.