‘Everything we see is a perspective, not the truth’

We read with interest the article on ‘Low incidence of vertebral fractures in early spondyloarthritis: 5-year prospective data of the DESIR cohort’ by Julie Sahuguet et al .1 The results are exciting regarding the significantly lower prevalence of vertebral fracture (VF) among patients with ‘early SpA’ and the crucial aspect of recognising vertebral defects as confounding factors. However, certain aspects of this study require further...