Osteoporosis is a major disease of bone metabolism characterized by decreased bone mass and impaired bone microarchitecture. The diagnosis of osteoporosis is based on measuring bone mineral density (BMD) using dual-energy X-ray absorptiometry (DXA), with a BMD T-score of −2.5 or lower, as defined by the WHO diagnostic criteria for osteoporosis, representing the threshold for diagnosis [1,2]. Two sites are typically measured: the lumbar spine, including the frontal projection of the L1 to L4 vert…