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Can a person suffer another fracture after surgery for osteoporotic fracture?

Sep 24, 2025 Source: Cainiu Health
Dr. Chen Jian
Introduction
In general, there remains a risk of re-fracture after surgery for osteoporotic fractures, because surgery can only repair the broken bone but cannot cure the underlying osteoporosis itself. If anti-osteoporosis treatment and preventive measures are not properly implemented after surgery, the risk of re-fracture may even increase. Therefore, one should not be complacent after surgical treatment of osteoporotic fractures; while treating the fracture, it is essential to simultaneously manage the osteoporosis.

Generally, there remains a risk of re-fracture after surgical treatment for osteoporotic fractures, because surgery can only repair the broken bone but cannot cure osteoporosis itself. If anti-osteoporosis treatment and preventive measures are not properly implemented after surgery, the risk of re-fracture may even increase. The details are as follows:

The essence of osteoporosis is reduced bone mass and decreased bone strength. Even if the fractured site is repaired, the overall skeleton remains fragile. Surgery addresses only the existing fracture and cannot restore bones to a healthy state. Without postoperative supplementation of calcium and vitamin D, or use of anti-osteoporosis medications, bone loss will continue, and the bone's ability to withstand external forces remains poor. Minor events such as falling, coughing, or bending over to lift heavy objects could lead to new fractures in other areas, such as the wrist, spine, or hip.

Patients are at the highest risk of re-fracture within 1–2 years after surgery. For example, patients who have previously experienced vertebral fractures are more than five times as likely to suffer another vertebral fracture in the future if no intervention is undertaken. However, with proper prevention, this risk can be significantly reduced—by consistently taking calcium supplements, getting adequate sun exposure, avoiding strenuous activities and falls, and regularly monitoring bone density while adjusting treatment plans accordingly.

Therefore, one should not become complacent after surgery for osteoporotic fractures. While treating the fracture, it is essential to also treat the underlying osteoporosis. Only by strictly following medical advice regarding anti-osteoporosis therapy and daily precautions after surgery can the risk of re-fracture be minimized and normal daily life be restored.

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