A 77-year-old woman had a low-trauma vertebral wedge fracture after tripping on a kerb. She has early menopause, BMI 18 kg/m2 and takes prednisolone

Question

A 77-year-old woman had a low-trauma vertebral wedge fracture after tripping on a kerb. She has early menopause, BMI 18 kg/m2 and takes prednisolone for polymyalgia rheumatica. Renal function is normal and calcium is normal. What is the most appropriate management?

Accepted Answer

Assess fracture risk and start bone protection if high risk

Answer

Reassure because the fracture followed a trip

Answer

Delay assessment until a second fracture occurs

Answer

Refer for spinal surgery before osteoporosis care

Answer

Treat with calcium alone and discharge

Osteoporotic vertebral fracture — DGM MCQ

A 77-year-old woman had a low-trauma vertebral wedge fracture after tripping on a kerb. She has early menopause, BMI 18 kg/m2 and takes prednisolone for polymyalgia rheumatica. Renal function is normal and calcium is normal. What is the most appropriate management?