Wáng, Yì Xiáng JDeng, MinHe, Lai-ChangChe-Nordin, NazmiSantiago, Fernando Ruiz2023-01-252023-01-252018-09-062214-031Xhttp://hdl.handle.net/10668/13059Despite years' research, the radiographic criteria for osteoporotic vertebral fracture and its grading remain debated. The importance of identifying vertebral endplate/cortex fracture (ECF) is being recognised; however, evaluation of osteoporotic ECF requires training and experience. This article aims to serve as a teaching material for radiologists/physicians or researchers to evaluate osteoporotic ECF. Emphasis is particularly dedicated to identifying ECF that may not be associated with apparent vertebral body collapse. We suggest a combined approach based on standardised radiologic evaluation by experts and morphometry measurement is the most appropriate approach to detect and classify osteoporotic vertebral fractures. A good understanding of radiologic anatomy of vertebrae and fracture signs of endplate/cortex are essential for spine fragility fracture assessment.enAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/EndplateNormal variantsOsteoporosisOsteoporotic fracturesRadiographresearch article30306044open access10.1016/j.jot.2018.08.004PMC6169255https://doi.org/10.1016/j.jot.2018.08.004https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169255/pdf