The goal of the study is to evaluate the prevalence of spinal abnormalities in aged men and women. We intended to determine if lumbar and femoral neck spinal degenerative disease prevalence, severity, and BMD were related. In the Dubbo Osteoporotic Epidemiology research, we age-standardized 300 male and female radiographs to assess fracture risk variables in the population. Several anonymous observers examined radiographs to determine spinal anomalies and osteophytosis severity. Dual-energy X-ray absorption spectroscopy measured BMD. The prevalence of spinal abnormalities was subjectively measured. Less strict standards may accentuate spine abnormalities. Deformity was more common in males than women, independent of criterion. Males made up 25% of 3 SD, 20% of 4 SD, and 27% of 25%. Femoral neck BMD and spine abnormalities are substantially linked. Biconcave malformations, especially in males, are substantially linked to BMD compared to crush or wedge defects. The severity of spinal osteophytosis does not affect vertebral deformity. Finally, lumbar spine BMD is comparable to femoral neck BMD for common vertebral fractures. When spinal osteophytosis causes an inaccurate BMD to rise without a corresponding fracture risk drop, BMD interpretation may need to be adjusted. This study recommends femoral neck bone densitometry for geriatric health assessment. Research reveals that geriatric spine abnormality diagnosis guidelines may be excessively broad, resulting in considerable non-fractures. This affects clinical trial planning greatly. Undiagnosed osteoporotic fractures involving vertebral anomalies are more common in men than women, regardless of the metric.