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Forty-six percent of white women 50 years of age and older will sustain an osteoporotic fracture during their remaining lifetime.1 Vertebral fractures are the most common osteoporotic fracture; two-thirds are asymptomatic, presenting as incidental findings on radiographs.2 After an initial hip or vertebral fracture, risk of a second fracture more than doubles, with highest risk in the first year.3 Fall prevention, weight-bearing exercise, and adequate intake of calcium and vitamin D are cornerstones of fracture prevention.4 However, medical therapy is often required to treat osteoporosis. Patients who have already sustained a fragility fracture of the hip or spine should be considered for medical therapy to prevent additional fractures, even without bone mineral density (BMD) testing.4
Cappola AR, Shoback DM. Osteoporosis Therapy in Postmenopausal Women With High Risk of Fracture. JAMA. 2016;316(7):715-716. doi:10.1001/jama.2016.11032