Vertebral fractures in patients on dialysis : a clinically relevant problem with insufficient investigation

Sir, Chronic kidney disease mineral and bone disorder (CKD-MBD), previously denominated renal osteodystrophy [1], is a major clinical problem, with increasing prevalence and adverse outcomes, including high bone turnover associated with secondary hyperparathyroidism, low bone turnover or adynamic bone disease, cardiovascular calcifications and bone fractures. The impact of such outcomes on patient morbidity and mortality has not been fully elucidated. We would like to point out a poorly investigated subject, which we feel is of great clinical importance: . .