Osteoporotic fractures: tailored treatment

No. Small collapses that do not deform the back can be treated with a brace and pain relief. The decision depends on the fracture and, above all, on the person who has it.

Because of the time spent getting there. In the long term the outcome may be similar, but conservative treatment achieves it at the cost of a period of pain and restricted mobility that older people tolerate poorly. When the fracture allows it, that is why I propose cement early.

Then cement alone is not enough and the solution combines percutaneous techniques with fixation. It is a different situation and it is planned as such.

Treating the fracture does not treat the osteoporosis. In every case the underlying bone has to be dealt with, and there exercise remains the best prevention. It is the part most often neglected and the one that pays off most in the long run.