High Risk for Fracture

2/3 of vertebral fractures are undetected

Osteoporosis is a disease in which bones become very weak and more likely to break. It often develops unnoticed over many years, with no symptoms or discomfort until a bone breaks.


Fractures caused by osteoporosis most often occur in the spine. They are almost twice as common as other fractures typically linked to osteoporosis, such as broken hips and wrists.

What does high risk mean?


  • This means your risk of having a broken bone in the next 10 years is greater than 20%

Lifestyle Changes

  • Same lifestyle changes as low and moderate risk.


  • Many options available that can reduce the risk of fracture by about 50%.
  • Talk to your doctor. Maintaining bone density and preventing fracture means the medication is working.
  • Medications include bisphosphonates, denosumab, romosozumab, hormone therapy, SERMs, parathyroid hormone
  • Take prescribed medication regularly according to instructions. This is important


  • BMD test in 1-3 years to ensure medication is working