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Related Experiment Video

Updated: May 30, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Treatment for older men with fractures.

A J Shepherd¹, A R Cass, L A Ray

¹Department of Family Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-1123, USA. ajshephe@utmb.edu

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

|August 4, 2011

Summary

Less than 10% of men receive osteoporosis treatment after a fracture, despite its availability. Older men, those with vertebral fractures, and those on certain medications or seeing a primary care physician were more likely to be treated.

Related Experiment Videos

Last Updated: May 30, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

Geriatric Medicine
Endocrinology
Pharmacology

Background:

Osteoporosis affects a significant number of men, increasing fracture risk.
Bisphosphonates, a key osteoporosis treatment, were approved for men in 2000.
Treatment rates in men post-fracture remain a critical public health concern.

Purpose of the Study:

To determine the frequency of bisphosphonate therapy initiation within 12 months after a fracture in men aged 65 and older.
To identify patient and physician-related factors associated with receiving bisphosphonate treatment post-fracture.

Main Methods:

Analysis of health insurance claims for 17,683 men aged 65+ with incident fractures between 2000-2005.
Follow-up for at least 6 months post-fracture to identify bisphosphonate treatment initiation.
Comparison of patient characteristics, comorbidities, and provider factors between treated and untreated groups.

Main Results:

Only 8% of men received bisphosphonate therapy within 12 months post-fracture.
Treatment rates increased slightly from 7% (2001) to 9% (2005), but remained low for hip fractures (7%).
Factors significantly associated with treatment included osteoporosis diagnosis, glucocorticoid/antidepressant use, bone density measurement, vertebral fractures, and primary physician care.

Conclusions:

Bisphosphonate therapy is underutilized in men following low-impact fractures, with less than 10% receiving treatment.
While seeing a primary physician increased treatment likelihood, less than 25% of men had such encounters post-fracture.
Further interventions are needed to improve osteoporosis management in elderly men.