Chronic hemodialysis is associated with lower trabecular bone score, independent of bone mineral density: a case-control study

Summary We measured trabecular bone score(TBS) in 98 patients on permanent hemodialysis (HD) and 98 subjects with similar bone mineraldensity and normal kidney function. TBS was significantly lower in HD patients, indicating deteriorated bone microarchitecture, independent of bone mass. This might partially explain the increased fracture risk in HD.