The European Vertebral Osteoporosis Study (EVOS) is one of the largest
studies to investigate the prevalence of osteoporosis related vertebr
al fractures in a population based cross-sectional study. One of the m
ain tasks was to create standards and logistics to obtain uniform and
comparable radiographs in all 36 European centers. Furthermore the cen
tral reading of the X-rays and the morphometry of the vertebral bodies
were 2 important challenges. This paper describes the standardized pa
tient positioning and making of the radiographs as well as their morph
ometry, reading, and evaluation.