Question

A 68-year-old postmenopausal woman has a minimal trauma vertebral fracture and T-score of -2.9 on DXA. What is the most appropriate management?

Accepted Answer

Commence antiresorptive therapy such as a bisphosphonate and address calcium/vitamin D and falls risk

Answer

Reassure that no treatment is necessary

Answer

Repeat DXA in 5 years without treatment

Answer

Start high-dose corticosteroids

Answer

Rely on calcium supplements alone

Practice question

A 68-year-old postmenopausal woman has a minimal trauma vertebral fracture and T-score of -2.9 on DXA. What is the most appropriate management?