Time for a break from bisphosphonates?
A woman with severe osteoporosis presents with worsening back pain. She has been on an antiresorptive agent for two decades.
Cathy, a 71-year-old, presents with a six-month history of worsening back pain.
She has a history of severe osteoporosis with vertebral fracture and has been on alendronate for 19 years.
The assessing GP suspects a possible vertebral fracture and requests a CT scan.
This confirms insufficiency fractures involving L1-L4, with loss of up to 80% height.
