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Maturitas. 2014 Jun;78(2):131-7. doi: 10.1016/j.maturitas.2014.03.002. Epub 2014 Mar 7.

EMAS position statement: The management of postmenopausal women with vertebral osteoporotic fracture.

Author information

  • 1Laboratory of Research for the Musculoskeletal System (LRMS), School of Medicine, University of Athens, 10 Athinas Street, 14561 Kifissia, Greece. Electronic address:
  • 2Medical School, University of Athens, KAT General Hospital, 2 Nikis Street, 14561 Kifissia, Greece.
  • 3Medical School, University of Athens, 10 Athinas Street, 14561 Kifissia, Greece.
  • 4Laboratory of Research for the Musculoskeletal System (LRMS), School of Medicine, University of Athens, 10 Athinas Street, 14561 Kifissia, Greece.
  • 5Department of Obstetrics and Gynecology, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania; Department of Obstetrics and Gynecology, 'Dr. I. Cantacuzino' Hospital, Bucharest, Romania.
  • 6Breast Clinic and Menopause Clinic, University Hospital, De Pintelaan 185, 9000 Gent, Belgium.
  • 7Department of Obstetrics and Gynecology, Istanbul University, Cerrahpasa School of Medicine, Valikonagi Cad. No. 93/4, Nisantasi, 34365 Istanbul, Turkey.
  • 8Department of Obstetrics and Gynecology, Zaragoza University Facultad de Medicina, Hospital Clínico, Zaragoza 50009, Spain.
  • 9Department of Medicine, Cardiology Unit and Head Centre for Gender Medicine, Karolinska Institutet and Karolinska University Hospital, Thorax N3:06, SE 17176 Stockholm, Sweden.
  • 10Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
  • 11Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 67, 56100 Pisa, Italy.
  • 12Menopause and Metabolic Bone Disease Unit, Hôpital Paule de Viguier, F-31059 Toulouse cedex 09, France.
  • 13Women's Centre, John Radcliffe Hospital, Oxford OX3 9DU, UK.
  • 14Second Department of Obstetrics and Gynecology, National and Capodestrian University of Athens, Greece.



Osteoporotic vertebral fractures are associated with significant morbidity, excess mortality as well as health and social service expenditure. Additionally, women with a prevalent osteoporotic vertebral fracture have a high risk of experiencing a further one within one year. It is therefore important for the physician to use a diagnostic and therapeutic algorithm for early detection and effective treatment of vertebral fractures.


The aim of this position statement is to provide and critically appraise evidence on the management of women with a vertebral osteoporotic fracture.


Literature review and consensus of expert opinion.


The management of women with osteoporotic vertebral fractures includes measures to reduce pain providing early mobility, to support the affected spine ensuring fracture healing, as well as starting treatment for osteoporosis itself. Any other underlying pathology should be sought and treated. Early detection and treatment is essential as there is an increased risk of further fractures in patients with vertebral fractures. Treatment will depend on the underlying causes of bone loss, efficacy in any particular situation, cost and patient preference.

Copyright © 2014. Published by Elsevier Ireland Ltd.


Conservative treatment; Diagnosis; Osteoporosis; Surgical treatment; Vertebral fracture

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