© 2016

Bone Health Assessment in Pediatrics

Guidelines for Clinical Practice

  • Ellen B. Fung
  • Laura K. Bachrach
  • Aenor J. Sawyer

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Maria Luisa Bianchi, Aenor J. Sawyer, Laura K. Bachrach
    Pages 1-21
  3. Kate A. Ward, Thomas M. Link, Judith E. Adams
    Pages 23-52
  4. John Shepherd, Nicola J. Crabtree
    Pages 53-74
  5. Sarah Pitts, Catherine M. Gordon
    Pages 75-87
  6. Nicola J. Crabtree, Kyla Kent
    Pages 89-114
  7. Babette S. Zemel, Heidi J. Kalkwarf
    Pages 115-134
  8. Bonny L. Specker, Teresa L. Binkley
    Pages 151-177
  9. Heidi H. Kecskemethy, Elizabeth Szalay, H. Theodore Harcke
    Pages 179-203
  10. Heather M. Macdonald, Heather A. McKay, Mary B. Leonard
    Pages 239-265
  11. M. Zulf Mughal, Amanda T. Whitaker, Aenor J. Sawyer
    Pages 267-283
  12. Sharmila Majumdar, Tony M. Keavney, Luis Del Rio, Oliver Semler, Renaud Winzenrieth
    Pages 285-313
  13. Back Matter
    Pages 315-347

About this book


 The gold-standard resource for evaluating bone health in children and adolescents, this practical and highly anticipated second edition offers a comprehensive, fully updated resource for addressing bone health in these populations.  Developed by a renowned international panel of experts in measuring and analyzing bone density in the pediatric patient and reflecting the 2013 International Society for Clinical Densitometry (ISCD) Guidelines for Pediatric DXA assessment, interpretation and reporting, this indispensable reference covers all the important changes in the field over the last 9 years.  Some highlights of this edition include: an entire chapter on the assessment of infants and toddlers, a chapter devoted to the assessment of children with disabling conditions, an in-depth discussion of vertebral fracture and its etiologies, and a thorough review of the advantages and limitations of densitometry techniques including DXA, pQCT, HRpQCT, and MRI.  New fracture prediction software, including Trabecular Bone Score and Finite Element Analysis, is described. In this edition, the limitations of DXA are addressed as are the most recent strategies for handling them including proposed DXA adjustments such as height Z-score.  Solidifying itself as the leading text in the field, Bone Health Assessment in Pediatrics: Guidelines for Clinical Practice, 2nd edition provides all of the critical basic analysis and evaluation tools, images, and calculations necessary for clinicians to optimize bone health for all children, especially those with skeletal fragility.


DXA DXA scans HRpQCT MRI absorptiometry bone densitometry dual energy x-ray fracture assessment monitoring bone pQCT pediatrics software

Editors and affiliations

  • Ellen B. Fung
    • 1
  • Laura K. Bachrach
    • 2
  • Aenor J. Sawyer
    • 3
  1. 1.UCSF Benioff Children’s Hospital OaklandChildren’s Hospital Oakland Research InstituteOaklandUSA
  2. 2.Department of PediatricsStanford University School of MedicineStanfordUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of CaliforniaSan FranciscoUSA

About the editors

Ellen B. Fung, PhD, RD, CCD
Director, Bone Density Clinic
Associate Scientist
UCSF Benioff Children's Hospital, Oakland Department of Hematology Oakland, CA

Laura K. Bachrach, MD
Stanford University School of Medicine
Department of Pediatrics
300 Pasteur Drive
Stanford, CA 94305-5208

Aenor J. Sawyer, MD, MS
Director, UCSF Skeletal Health Service
Assistant Clinical Professor
Department of Orthopaedic Surgery
UCSF Medical Center
San Francisco, CA

Bibliographic information

  • Book Title Bone Health Assessment in Pediatrics
  • Book Subtitle Guidelines for Clinical Practice
  • Editors Ellen B. Fung
    Laura K. Bachrach
    Aenor J. Sawyer
  • DOI
  • Copyright Information Springer International Publishing Switzerland 2016
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-30410-6
  • Softcover ISBN 978-3-319-80802-4
  • eBook ISBN 978-3-319-30412-0
  • Edition Number 2
  • Number of Pages XVII, 347
  • Number of Illustrations 51 b/w illustrations, 35 illustrations in colour
  • Topics Orthopedics
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals


“As bones are basic constituents of body growth, their health are of great importance in childhood. This volume discusses in 13 chapters the tools for measuring bone health from DEXA to CT, pOCT and HR-pOCT. … Fro pediatricians, roentgenologists, orthopedics and surgeons.” (Pediatric Endocrinology Reviews (PER), vol. 14 (3), March, 2017)