Vertebral fracture
Vertebral fracture is usually the first osteoporotic fracture. There are two main reasons for this under diagnosis. Firstly, the typically clinical symptoms of back pain and restricted movement are usually attributed to Spondyolsis rather than vertebral fracture, so that most patients with vertebral fracture do not seek medical attention. Increasing age, previous non vertebral fracture, low BMD, low body mass index, current smoking, low milk consumption during pregnancy, low physical activity, having a fall, and regular use of aluminium-containing antacids all increase the childhood of a first vertebral fracture.
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