Proximal tibia fracture in a patient with incomplete spinal cord injury associated with robotic treadmill training

This letter to the editor discusses a case report of a 43-year-old woman who sustained a fragility fracture while using a robotic treadmill (Lokomat). The author questions the use of T-scores versus Z-scores in determining fracture risk in pre-menopausal women. The letter emphasizes the importance of uniformity in bone mineral density reporting for developing effective protocols.

• 1
  The letter highlights a potential risk of fragility fractures associated with robotic treadmill training in patients with incomplete spinal cord injury.
• 2
  It questions the appropriateness of using T-scores for fracture risk assessment in pre-menopausal women under 60.
• 3
  The letter underscores the need for standardized bone mineral density reporting.