&Vertebral Compression Fracture=Vertebral compression fractures are the most common type of osteoporotic fracture. Fractures most commonly occur in the thoracic spine. They are fragility fractures which occur after fall from less than standing height. Most vertebral compression fractures (about two-thirds) are asymptomatic; they are diagnosed as an incidental finding on chest x-ray. In some women they may become apparent because of height loss or kyphosis. In women who have a symptomatic vertebral fracture, there is usually no history of preceding trauma.  Occasionally, minor trauma, may precipitate a fracture. The pain often radiates bilaterally into the anterior abdomen in the distribution of contiguous nerve routes, a so called "girdle of pain." The pain from a vertebral compression fracture is variable in quality and may be sharp, severe, or dull. Sitting and movement often aggravate the discomfort, while muscle spasms may disturb sleep. Malignancy should be excluded. Work-up and treatment of underlying osteoporosis is recommended.