Welcome. This talk is about the most common osteoporotic fracture, the one most often missed, and the one that most reliably predicts the next fracture: the vertebral compression fracture.
Two promises. First, by the end you will be able to sort an older patient with acute back pain into "stable fracture, treat the pain and the bone," "fracture that needs a spine surgeon," or "this is not osteoporosis." Second, I will give you the honest state of the evidence on vertebroplasty and kyphoplasty, which is more contested than for almost any other procedure we perform, and tell you what the guidelines actually say.
Every claim is referenced; the chips on the slides open the source, and the full list with PubMed links is online.