Ortho Dx: New compression fractures in an elderly man

A 79-year-old man presents with increasing thoracolumbar pain and difficulty straightening his back. He denies having radiating pain down the legs. He also denies a history of cancer or recent, significant weight loss. Lateral radiograph (Figure 1) and sagittal MRI (Figure 2) show new wedge compression fractures at T11, T12, and L1. The heterogeneous signal ...