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23, 95%CI 1.41-3.54, p = 0.001; OR 6.56, 95%CI 2.71-15.85, p 0.0001) or osteoporosis (OR 12.08, 95%CI 7.09-20.57, p 0.0001; OR 4.54, 95%CI 2.08-9.90, p 0.0001). Another DXA scan was more likely to be requested if there was a prior fracture (OR 1.75, 95%CI 1.10-2.78, p = 0.02) but less likely if the person was nonambulatory (OR 0.41, 95% 0.19-0.90, p = 0.03). Prior fracture and DXA findings influenced treatment recommendations for bone health management in SCI. Reliance on lumbar spine scans to determine bone loss and treat